| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
18,959 |
17,937 |
$1.81M |
| A4927 |
Gloves, non-sterile, per 100 |
75,164 |
70,164 |
$1.61M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
17,625 |
16,711 |
$1.46M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
11,481 |
10,743 |
$1.10M |
| T4541 |
Incontinence product, disposable underpad, large, each |
32,267 |
29,824 |
$1.07M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
23,231 |
22,115 |
$1.00M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
15,024 |
14,669 |
$592K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
5,496 |
5,007 |
$444K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
4,519 |
4,144 |
$430K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
3,689 |
3,272 |
$427K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,008 |
1,809 |
$395K |
| A4335 |
Incontinence supply; miscellaneous |
10,348 |
9,724 |
$252K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,655 |
2,343 |
$187K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,061 |
1,904 |
$149K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,189 |
944 |
$77K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
185 |
154 |
$20K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
2,339 |
1,724 |
$4K |
| A4670 |
Automatic blood pressure monitor |
66 |
59 |
$2K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
245 |
211 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
246 |
226 |
$1K |
| S9999 |
Sales tax |
104 |
85 |
$1K |
| A4554 |
Disposable underpads, all sizes |
549 |
408 |
$385.28 |