| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
6,299 |
6,265 |
$188K |
| A4554 |
Disposable underpads, all sizes |
4,718 |
4,680 |
$153K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,346 |
1,335 |
$90K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,688 |
1,675 |
$88K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,748 |
1,731 |
$52K |
| T5999 |
Supply, not otherwise specified |
7,131 |
7,056 |
$49K |
| X1939 |
|
648 |
635 |
$37K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
141 |
140 |
$17K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
319 |
318 |
$15K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
20 |
20 |
$2K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
14 |
14 |
$2K |