| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
10,262 |
7,624 |
$388K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,222 |
3,161 |
$299K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,889 |
3,715 |
$295K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,275 |
2,485 |
$229K |
| A4554 |
Disposable underpads, all sizes |
6,962 |
5,573 |
$147K |
| A4927 |
Gloves, non-sterile, per 100 |
5,911 |
4,422 |
$123K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,978 |
4,554 |
$92K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
642 |
524 |
$58K |
| 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 |
364 |
307 |
$34K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
590 |
443 |
$19K |
| 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 |
87 |
86 |
$12K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
21 |
15 |
$1K |