| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Gloves, non-sterile, per 100 |
17,823 |
15,200 |
$748K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,121 |
12,518 |
$695K |
| T4541 |
Incontinence product, disposable underpad, large, each |
14,890 |
14,772 |
$670K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,444 |
6,428 |
$493K |
| T5999 |
Supply, not otherwise specified |
16,887 |
16,506 |
$448K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,681 |
3,654 |
$272K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,478 |
4,463 |
$272K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
12,970 |
12,922 |
$176K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,819 |
1,807 |
$161K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,863 |
1,854 |
$157K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,121 |
1,119 |
$94K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,596 |
1,589 |
$93K |
| A4335 |
Incontinence supply; miscellaneous |
12,259 |
12,228 |
$80K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
271 |
270 |
$63K |
| A4670 |
Automatic blood pressure monitor |
407 |
407 |
$34K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,231 |
1,231 |
$31K |
| E0245 |
Tub stool or bench |
214 |
214 |
$13K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
172 |
167 |
$10K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
94 |
94 |
$8K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
64 |
63 |
$6K |
| A5120 |
Skin barrier, wipes or swabs, each |
925 |
914 |
$5K |
| A4456 |
Adhesive remover, wipes, any type, each |
540 |
539 |
$3K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
76 |
75 |
$2K |
| E0241 |
Bath tub wall rail, each |
82 |
64 |
$2K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
75 |
75 |
$1K |
| E0244 |
Raised toilet seat |
14 |
14 |
$700.89 |