| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13,232 |
12,961 |
$1.55M |
| A4554 |
Disposable underpads, all sizes |
36,313 |
35,739 |
$1.32M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
9,617 |
9,475 |
$954K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
21,617 |
21,038 |
$739K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,147 |
4,105 |
$587K |
| A4335 |
Incontinence supply; miscellaneous |
38,718 |
38,055 |
$211K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
570 |
565 |
$59K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
188 |
187 |
$37K |
| A4927 |
Gloves, non-sterile, per 100 |
2,357 |
2,336 |
$18K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
109 |
103 |
$14K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
152 |
151 |
$13K |
| K0003 |
Lightweight wheelchair |
625 |
624 |
$6K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
717 |
589 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
401 |
377 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
106 |
106 |
$2K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
541 |
442 |
$280.24 |
| A4259 |
Lancets, per box of 100 |
228 |
228 |
$103.06 |