| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
15,019 |
14,552 |
$936K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,290 |
5,120 |
$863K |
| T4541 |
Incontinence product, disposable underpad, large, each |
16,993 |
16,495 |
$840K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,395 |
2,329 |
$739K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,790 |
3,703 |
$627K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,495 |
3,400 |
$570K |
| A4927 |
Gloves, non-sterile, per 100 |
16,989 |
16,506 |
$499K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,655 |
1,630 |
$90K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
465 |
444 |
$64K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
10,349 |
9,938 |
$24K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
55 |
53 |
$21K |
| A6534 |
Gradient compression stocking, thigh length, 30-40 mmhg, each |
32 |
31 |
$14K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
75 |
74 |
$13K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
340 |
161 |
$12K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,537 |
1,196 |
$12K |
| A4553 |
Non-disposable underpads, all sizes |
801 |
791 |
$12K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
48 |
43 |
$11K |
| K0003 |
Lightweight wheelchair |
62 |
61 |
$3K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
328 |
157 |
$2K |
| K0004 |
High strength, lightweight wheelchair |
156 |
153 |
$1K |