| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
41,009 |
32,732 |
$2.83M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
45,413 |
36,313 |
$2.59M |
| A4927 |
Gloves, non-sterile, per 100 |
156,657 |
125,990 |
$2.51M |
| T4541 |
Incontinence product, disposable underpad, large, each |
66,959 |
53,673 |
$2.27M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
73,582 |
58,489 |
$2.21M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
33,351 |
27,422 |
$1.24M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
18,057 |
14,468 |
$1.22M |
| A4335 |
Incontinence supply; miscellaneous |
28,552 |
23,039 |
$668K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
9,010 |
7,171 |
$661K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
4,893 |
3,707 |
$573K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
7,262 |
5,979 |
$429K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
5,220 |
3,966 |
$427K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
6,501 |
5,068 |
$356K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,750 |
1,242 |
$323K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
1,542 |
1,479 |
$163K |
| E1399 |
Durable medical equipment, miscellaneous |
1,325 |
1,160 |
$42K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
254 |
240 |
$41K |
| S9999 |
Sales tax |
8,072 |
6,115 |
$37K |
| E0244 |
Raised toilet seat |
416 |
398 |
$31K |
| E0241 |
Bath tub wall rail, each |
249 |
230 |
$11K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
170 |
164 |
$11K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
16 |
13 |
$633.70 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
138 |
128 |
$497.47 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
62 |
61 |
$426.29 |
| A9270 |
Non-covered item or service |
19 |
15 |
$0.00 |