| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,123 |
3,036 |
$243K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,282 |
2,222 |
$203K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,108 |
4,941 |
$184K |
| A4554 |
Disposable underpads, all sizes |
4,462 |
4,341 |
$171K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,860 |
1,810 |
$108K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
563 |
554 |
$92K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
383 |
376 |
$18K |
| A4927 |
Gloves, non-sterile, per 100 |
2,190 |
2,120 |
$10K |
| E1399 |
Durable medical equipment, miscellaneous |
236 |
235 |
$7K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
72 |
38 |
$5K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
183 |
180 |
$5K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
25 |
13 |
$1K |