| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,599 |
3,286 |
$394K |
| A4554 |
Disposable underpads, all sizes |
4,811 |
4,454 |
$146K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,590 |
1,459 |
$141K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,111 |
1,946 |
$129K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,489 |
1,375 |
$123K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,421 |
1,319 |
$121K |
| A4927 |
Gloves, non-sterile, per 100 |
4,690 |
4,274 |
$80K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
358 |
162 |
$58K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
295 |
267 |
$30K |
| E0246 |
Transfer tub rail attachment |
330 |
162 |
$17K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
121 |
112 |
$11K |
| E0241 |
Bath tub wall rail, each |
185 |
162 |
$3K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
82 |
62 |
$3K |
| A4452 |
Tape, waterproof, per 18 square inches |
59 |
46 |
$1K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$947.80 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
22 |
14 |
$385.35 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
16 |
12 |
$162.31 |