| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
459 |
376 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
75 |
61 |
$3K |
| A5120 |
Skin barrier, wipes or swabs, each |
470 |
235 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
177 |
144 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
36 |
31 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
111 |
81 |
$1K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
19 |
13 |
$600.00 |
| E0607 |
Home blood glucose monitor |
99 |
86 |
$0.00 |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
27 |
25 |
$0.00 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
21 |
19 |
$0.00 |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
202 |
172 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
263 |
207 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
273 |
182 |
$0.00 |
| A4554 |
Disposable underpads, all sizes |
261 |
181 |
$0.00 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
171 |
130 |
$0.00 |