| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,346 |
2,321 |
$301K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,443 |
1,428 |
$146K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,243 |
1,220 |
$143K |
| A4554 |
Disposable underpads, all sizes |
2,759 |
2,712 |
$134K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
2,458 |
2,188 |
$124K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
685 |
679 |
$74K |
| S5199 |
Personal care item, nos, each |
803 |
772 |
$61K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
528 |
522 |
$60K |
| A4927 |
Gloves, non-sterile, per 100 |
3,668 |
3,562 |
$51K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
214 |
211 |
$23K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
291 |
283 |
$23K |
| 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 |
63 |
62 |
$15K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
120 |
118 |
$4K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
67 |
65 |
$434.72 |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
12 |
12 |
$198.00 |