| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
19,478 |
19,308 |
$1.00M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
11,703 |
11,585 |
$962K |
| T4541 |
Incontinence product, disposable underpad, large, each |
25,903 |
25,691 |
$922K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
7,318 |
7,315 |
$807K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,404 |
6,352 |
$577K |
| A4927 |
Gloves, non-sterile, per 100 |
29,052 |
28,863 |
$372K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
2,769 |
2,747 |
$299K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,249 |
3,227 |
$274K |
| S5199 |
Personal care item, nos, each |
41,490 |
41,159 |
$253K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,575 |
2,548 |
$244K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,835 |
2,808 |
$218K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,730 |
1,711 |
$195K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,972 |
1,945 |
$185K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
2,423 |
2,416 |
$155K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
2,522 |
2,521 |
$131K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
2,457 |
2,406 |
$124K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
996 |
987 |
$84K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
1,406 |
1,390 |
$59K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
230 |
230 |
$23K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
169 |
169 |
$11K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
29 |
25 |
$7K |
| A6245 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
336 |
335 |
$6K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
14 |
14 |
$1K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
53 |
53 |
$369.75 |