| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,744 |
3,541 |
$350K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,011 |
1,905 |
$282K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,082 |
1,903 |
$282K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,861 |
5,496 |
$252K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,315 |
1,225 |
$181K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
715 |
695 |
$115K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
500 |
480 |
$88K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
483 |
459 |
$69K |
| A4670 |
Automatic blood pressure monitor |
718 |
707 |
$61K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
320 |
302 |
$41K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
88 |
81 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
244 |
240 |
$5K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
82 |
65 |
$4K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
15 |
12 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
43 |
24 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
12 |
12 |
$82.24 |