| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
52,150 |
49,797 |
$6.03M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
52,268 |
49,908 |
$2.91M |
| A5120 |
Skin barrier, wipes or swabs, each |
57,544 |
54,311 |
$2.48M |
| T4541 |
Incontinence product, disposable underpad, large, each |
45,328 |
43,543 |
$1.28M |
| A4927 |
Gloves, non-sterile, per 100 |
57,055 |
54,475 |
$862K |
| A4554 |
Disposable underpads, all sizes |
5,096 |
4,632 |
$172K |
| A4553 |
Non-disposable underpads, all sizes |
6,896 |
6,628 |
$95K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
190 |
172 |
$38K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
178 |
178 |
$31K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
98 |
98 |
$16K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
53 |
51 |
$5K |
| A4245 |
Alcohol wipes, per box |
494 |
478 |
$1K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
37 |
37 |
$400.94 |
| E0156 |
Seat attachment, walker |
46 |
46 |
$357.93 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
36 |
36 |
$0.00 |