| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
101,301 |
97,604 |
$5.67M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
96,355 |
92,625 |
$5.09M |
| A4554 |
Disposable underpads, all sizes |
139,339 |
132,556 |
$3.57M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
46,287 |
44,128 |
$2.85M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
49,311 |
47,412 |
$2.16M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
20,925 |
20,130 |
$1.14M |
| A4927 |
Gloves, non-sterile, per 100 |
147,785 |
140,990 |
$1.08M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
15,902 |
15,044 |
$1.05M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
16,486 |
15,734 |
$957K |
| A4245 |
Alcohol wipes, per box |
131,209 |
125,747 |
$749K |
| S5199 |
Personal care item, nos, each |
28,599 |
26,447 |
$613K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
9,955 |
9,548 |
$518K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
4,108 |
3,884 |
$455K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
5,919 |
4,415 |
$454K |
| A4335 |
Incontinence supply; miscellaneous |
57,054 |
51,525 |
$450K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
5,252 |
4,987 |
$428K |
| T4541 |
Incontinence product, disposable underpad, large, each |
12,118 |
11,786 |
$408K |
| A5120 |
Skin barrier, wipes or swabs, each |
38,457 |
36,149 |
$389K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
34,622 |
32,880 |
$194K |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,587 |
1,196 |
$144K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,606 |
1,187 |
$126K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
1,538 |
1,504 |
$95K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,244 |
2,177 |
$76K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,012 |
435 |
$52K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
687 |
674 |
$35K |
| T5999 |
Supply, not otherwise specified |
293 |
238 |
$2K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
94 |
88 |
$2K |
| A9270 |
Non-covered item or service |
45 |
43 |
$288.00 |