| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
6,738 |
6,076 |
$340K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,367 |
2,137 |
$222K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,222 |
3,698 |
$215K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,336 |
1,204 |
$139K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,015 |
1,847 |
$129K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,304 |
1,157 |
$110K |
| A4927 |
Gloves, non-sterile, per 100 |
3,589 |
3,123 |
$88K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,378 |
1,372 |
$41K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
216 |
215 |
$21K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
233 |
201 |
$19K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
990 |
856 |
$15K |
| A4335 |
Incontinence supply; miscellaneous |
1,021 |
885 |
$14K |
| E0570 |
Nebulizer, with compressor |
30 |
30 |
$5K |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$910.32 |