| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
4,867 |
4,822 |
$1.60M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,468 |
4,427 |
$433K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,902 |
1,893 |
$158K |
| A4554 |
Disposable underpads, all sizes |
3,356 |
3,317 |
$127K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
382 |
368 |
$51K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
489 |
484 |
$46K |
| A4927 |
Gloves, non-sterile, per 100 |
4,658 |
4,616 |
$36K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
396 |
393 |
$24K |