| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,785 |
16,411 |
$838K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,347 |
3,267 |
$229K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,814 |
2,782 |
$214K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,425 |
4,326 |
$190K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
10,934 |
8,971 |
$188K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,821 |
1,785 |
$165K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,290 |
2,172 |
$75K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,042 |
1,025 |
$52K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
367 |
264 |
$25K |
| A4927 |
Gloves, non-sterile, per 100 |
1,829 |
1,810 |
$22K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
261 |
246 |
$20K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
27 |
24 |
$13.31 |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
482 |
475 |
$0.00 |