| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,258 |
1,245 |
$221K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,121 |
1,103 |
$188K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,156 |
1,145 |
$147K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,024 |
1,020 |
$128K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,408 |
2,376 |
$114K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
415 |
409 |
$47K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
509 |
491 |
$42K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
184 |
183 |
$27K |
| B9998 |
Noc for enteral supplies |
260 |
217 |
$23K |
| A4927 |
Gloves, non-sterile, per 100 |
332 |
322 |
$9K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
24 |
24 |
$4K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
24 |
24 |
$3K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
16 |
14 |
$2K |