| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,659 |
5,362 |
$326K |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,572 |
6,528 |
$321K |
| A4927 |
Gloves, non-sterile, per 100 |
8,523 |
6,978 |
$250K |
| T5999 |
Supply, not otherwise specified |
7,902 |
7,794 |
$232K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,726 |
2,715 |
$214K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,464 |
1,456 |
$112K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,689 |
1,683 |
$108K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
751 |
748 |
$75K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,262 |
5,238 |
$70K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
663 |
655 |
$65K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
695 |
677 |
$43K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
432 |
430 |
$37K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
171 |
170 |
$36K |
| A4335 |
Incontinence supply; miscellaneous |
4,848 |
4,834 |
$31K |
| A4670 |
Automatic blood pressure monitor |
426 |
426 |
$29K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
526 |
526 |
$14K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
105 |
105 |
$10K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
233 |
232 |
$10K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
26 |
26 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
304 |
304 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
284 |
283 |
$2K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
89 |
89 |
$1K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
12 |
12 |
$828.79 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
12 |
12 |
$728.51 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
65 |
65 |
$545.01 |