| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
17,206 |
16,854 |
$1.97M |
| A4554 |
Disposable underpads, all sizes |
29,805 |
29,318 |
$1.39M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
8,523 |
8,484 |
$664K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
20,445 |
20,256 |
$606K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
16,054 |
15,626 |
$451K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
11,724 |
11,376 |
$342K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,606 |
2,582 |
$176K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
8,193 |
7,906 |
$133K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
859 |
708 |
$77K |
| A4927 |
Gloves, non-sterile, per 100 |
5,740 |
5,484 |
$28K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
277 |
274 |
$24K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
141 |
141 |
$19K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
245 |
207 |
$17K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
136 |
133 |
$14K |
| 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 |
24 |
24 |
$478.96 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
12 |
12 |
$370.26 |
| 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 |
12 |
12 |
$189.14 |