| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,003 |
915 |
$138K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,576 |
1,483 |
$75K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
613 |
548 |
$68K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
499 |
461 |
$58K |
| A4554 |
Disposable underpads, all sizes |
1,352 |
1,225 |
$58K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
291 |
261 |
$42K |
| A4927 |
Gloves, non-sterile, per 100 |
1,999 |
1,869 |
$17K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
168 |
142 |
$17K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
86 |
60 |
$15K |