| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
17,811 |
17,810 |
$1.23M |
| A4554 |
Disposable underpads, all sizes |
33,035 |
33,028 |
$1.16M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
15,548 |
15,545 |
$809K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
24,016 |
24,007 |
$671K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
7,836 |
7,833 |
$646K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,989 |
1,987 |
$334K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
7,421 |
7,420 |
$244K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
3,505 |
3,503 |
$162K |
| A4927 |
Gloves, non-sterile, per 100 |
20,226 |
20,220 |
$96K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
2,954 |
2,953 |
$68K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
949 |
949 |
$17K |
| A4402 |
Lubricant, per ounce |
2,233 |
2,230 |
$14K |
| A4335 |
Incontinence supply; miscellaneous |
2,407 |
2,406 |
$8K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
216 |
216 |
$7K |
| E0241 |
Bath tub wall rail, each |
86 |
86 |
$2K |
| E1399 |
Durable medical equipment, miscellaneous |
192 |
192 |
$873.18 |