| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
4,915 |
4,728 |
$1.36M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,276 |
6,128 |
$1.05M |
| A4554 |
Disposable underpads, all sizes |
25,238 |
24,606 |
$929K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,304 |
4,201 |
$875K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,741 |
5,631 |
$809K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
15,428 |
14,941 |
$216K |
| A4927 |
Gloves, non-sterile, per 100 |
21,520 |
21,062 |
$163K |
| A4335 |
Incontinence supply; miscellaneous |
23,930 |
23,433 |
$122K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
893 |
864 |
$115K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
958 |
937 |
$114K |
| S5199 |
Personal care item, nos, each |
1,813 |
1,683 |
$101K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
152 |
140 |
$88K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
475 |
450 |
$41K |
| A4670 |
Automatic blood pressure monitor |
98 |
96 |
$5K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
37 |
36 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$801.21 |
| E0240 |
Bath/shower chair, with or without wheels, any size |
25 |
25 |
$233.34 |