| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X1939 |
|
18,585 |
18,279 |
$1.18M |
| A4554 |
Disposable underpads, all sizes |
27,860 |
27,596 |
$928K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
3,892 |
3,841 |
$510K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,758 |
8,669 |
$472K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
8,591 |
8,363 |
$424K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,744 |
5,732 |
$395K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,361 |
11,240 |
$342K |
| T5999 |
Supply, not otherwise specified |
48,069 |
46,871 |
$311K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,859 |
2,647 |
$253K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,561 |
1,551 |
$146K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,834 |
1,711 |
$144K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,080 |
1,028 |
$96K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
784 |
781 |
$45K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
491 |
486 |
$33K |
| A4927 |
Gloves, non-sterile, per 100 |
3,099 |
2,187 |
$31K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
550 |
544 |
$26K |
| E0244 |
Raised toilet seat |
215 |
212 |
$21K |
| S5165 |
Home modifications; per service |
258 |
257 |
$16K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
15 |
15 |
$3K |