| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
36,691 |
14,260 |
$965K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
37,087 |
14,410 |
$879K |
| A5120 |
Skin barrier, wipes or swabs, each |
96,355 |
36,903 |
$457K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
16,714 |
6,333 |
$451K |
| A4554 |
Disposable underpads, all sizes |
77,409 |
29,061 |
$426K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
19,364 |
6,439 |
$216K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
6,228 |
2,090 |
$134K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,519 |
973 |
$118K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
5,266 |
1,760 |
$115K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,169 |
1,127 |
$66K |
| A4927 |
Gloves, non-sterile, per 100 |
36,562 |
14,710 |
$63K |
| S5199 |
Personal care item, nos, each |
18,480 |
4,127 |
$63K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
529 |
527 |
$55K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,637 |
667 |
$41K |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
725 |
189 |
$23K |
| S5130 |
Homemaker service, nos; per 15 minutes |
344 |
66 |
$13K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,365 |
74 |
$10K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 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 |
474 |
25 |
$8K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
469 |
67 |
$5K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
80 |
20 |
$1K |