| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
2,674 |
2,641 |
$143K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,145 |
2,126 |
$103K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
831 |
819 |
$55K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
868 |
854 |
$40K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,924 |
1,895 |
$28K |
| A4335 |
Incontinence supply; miscellaneous |
1,982 |
1,957 |
$12K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
200 |
200 |
$2K |
| E0570 |
Nebulizer, with compressor |
148 |
146 |
$1K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
44 |
43 |
$1K |
| A5120 |
Skin barrier, wipes or swabs, each |
40 |
40 |
$663.07 |
| A4927 |
Gloves, non-sterile, per 100 |
40 |
39 |
$650.64 |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$593.07 |
| T4542 |
Incontinence product, disposable underpad, small size, each |
12 |
12 |
$411.41 |