| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5165 |
Home modifications; per service |
237 |
220 |
$593K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
715 |
637 |
$449K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,289 |
2,087 |
$84K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
642 |
518 |
$69K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
283 |
264 |
$39K |
| A4927 |
Gloves, non-sterile, per 100 |
1,604 |
1,440 |
$24K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
85 |
60 |
$18K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
93 |
89 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
154 |
140 |
$9K |