| Code | Description | Claims | Beneficiaries | Total Paid |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
16,076 |
4,304 |
$860K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
16,895 |
6,874 |
$741K |
| A4554 |
Disposable underpads, all sizes |
19,868 |
12,634 |
$689K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
6,964 |
4,046 |
$560K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
5,731 |
2,968 |
$417K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,202 |
1,266 |
$410K |
| B9998 |
Noc for enteral supplies |
15,048 |
3,525 |
$404K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,258 |
2,574 |
$335K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,830 |
1,671 |
$245K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
9,277 |
2,584 |
$244K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
28,268 |
2,592 |
$207K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,609 |
1,755 |
$196K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
5,881 |
1,796 |
$175K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
7,706 |
1,375 |
$149K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
3,766 |
1,358 |
$140K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,139 |
714 |
$118K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
864 |
546 |
$107K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
16,996 |
13,375 |
$105K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,193 |
549 |
$75K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,715 |
477 |
$41K |
| A4927 |
Gloves, non-sterile, per 100 |
2,870 |
1,929 |
$34K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,595 |
1,217 |
$23K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
341 |
255 |
$22K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,014 |
593 |
$18K |
| A4335 |
Incontinence supply; miscellaneous |
738 |
455 |
$15K |
| A7002 |
Tubing, used with suction pump, each |
1,231 |
677 |
$8K |
| E0570 |
Nebulizer, with compressor |
24 |
22 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,694 |
1,220 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
112 |
48 |
$316.03 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
31 |
12 |
$8.64 |