| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
3,161 |
3,115 |
$317K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
755 |
730 |
$55K |
| A4554 |
Disposable underpads, all sizes |
1,351 |
1,300 |
$51K |
| A4927 |
Gloves, non-sterile, per 100 |
4,224 |
3,676 |
$50K |
| A4245 |
Alcohol wipes, per box |
858 |
840 |
$18K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
298 |
238 |
$17K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
125 |
120 |
$10K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
114 |
110 |
$10K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
43 |
39 |
$2K |
| S5199 |
Personal care item, nos, each |
25 |
13 |
$0.00 |