| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
4,115 |
4,000 |
$1.12M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,295 |
3,250 |
$437K |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,648 |
6,490 |
$252K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,483 |
3,413 |
$224K |
| A4927 |
Gloves, non-sterile, per 100 |
7,422 |
7,274 |
$117K |
| A4930 |
Gloves, sterile, per pair |
1,791 |
1,728 |
$91K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,105 |
1,078 |
$82K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
1,823 |
1,621 |
$67K |
| E0190 |
Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories |
532 |
519 |
$44K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
891 |
866 |
$35K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
33 |
33 |
$10K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
480 |
456 |
$3K |