| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,651 |
8,257 |
$651K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,323 |
5,113 |
$621K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,350 |
5,172 |
$587K |
| T4541 |
Incontinence product, disposable underpad, large, each |
12,642 |
12,124 |
$524K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,884 |
2,763 |
$302K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,148 |
2,026 |
$252K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,534 |
1,444 |
$174K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,056 |
1,015 |
$143K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
862 |
814 |
$130K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,035 |
984 |
$113K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 |
535 |
506 |
$94K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
687 |
651 |
$78K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
564 |
531 |
$62K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
297 |
275 |
$38K |
| B9998 |
Noc for enteral supplies |
205 |
102 |
$26K |
| A4927 |
Gloves, non-sterile, per 100 |
1,374 |
1,307 |
$16K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
68 |
63 |
$14K |
| 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 |
14 |
13 |
$2K |