| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
32,304 |
26,310 |
$1.36M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
15,196 |
12,683 |
$978K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12,816 |
10,610 |
$977K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
10,020 |
8,268 |
$733K |
| A4554 |
Disposable underpads, all sizes |
24,812 |
21,240 |
$669K |
| A4927 |
Gloves, non-sterile, per 100 |
28,323 |
20,372 |
$513K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
23,955 |
16,044 |
$328K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
3,324 |
2,751 |
$319K |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,731 |
1,167 |
$251K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
4,055 |
2,625 |
$240K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 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 |
1,193 |
816 |
$114K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,088 |
1,692 |
$93K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,035 |
811 |
$92K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
610 |
515 |
$49K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
419 |
326 |
$32K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
219 |
173 |
$14K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
15 |
12 |
$2K |