| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
63,639 |
60,307 |
$10.99M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
99,815 |
89,092 |
$9.28M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
82,294 |
72,560 |
$8.45M |
| T4541 |
Incontinence product, disposable underpad, large, each |
135,466 |
127,058 |
$7.05M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
70,723 |
63,167 |
$6.54M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
173,376 |
162,808 |
$6.44M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
44,443 |
41,141 |
$3.85M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
36,373 |
34,076 |
$3.44M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
29,504 |
27,160 |
$2.97M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
15,357 |
14,410 |
$2.71M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
18,133 |
17,014 |
$2.03M |
| A4927 |
Gloves, non-sterile, per 100 |
162,615 |
146,809 |
$1.92M |
| A4554 |
Disposable underpads, all sizes |
42,962 |
40,079 |
$1.85M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
16,914 |
15,403 |
$1.46M |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
16,819 |
15,614 |
$1.30M |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
14,205 |
13,303 |
$1.17M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
5,673 |
5,278 |
$1.10M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
24,892 |
23,827 |
$868K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,904 |
9,102 |
$848K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
8,292 |
7,769 |
$815K |
| A4335 |
Incontinence supply; miscellaneous |
23,843 |
17,814 |
$800K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
2,372 |
1,976 |
$278K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
12,191 |
11,725 |
$228K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 |
717 |
588 |
$86K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
2,625 |
2,577 |
$77K |
| 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 |
733 |
469 |
$57K |
| E1399 |
Durable medical equipment, miscellaneous |
1,048 |
800 |
$40K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
5,920 |
5,081 |
$26K |
| A4553 |
Non-disposable underpads, all sizes |
2,097 |
1,665 |
$26K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,219 |
1,060 |
$25K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
788 |
621 |
$24K |
| A4670 |
Automatic blood pressure monitor |
494 |
491 |
$24K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
252 |
182 |
$16K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
843 |
670 |
$6K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
167 |
161 |
$4K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
166 |
133 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
129 |
93 |
$464.07 |
| A4402 |
Lubricant, per ounce |
26 |
26 |
$27.98 |