| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult size pull-on med |
19,506 |
18,773 |
$1.38M |
| T4527 |
Adult size pull-on lg |
18,388 |
17,733 |
$1.37M |
| A4554 |
Disposable underpads |
45,766 |
44,161 |
$643K |
| T4528 |
Adult size pull-on xl |
8,008 |
7,737 |
$591K |
| A4927 |
Non-sterile gloves |
40,815 |
39,279 |
$419K |
| T4535 |
Disposable liner/shield/pad |
11,046 |
10,660 |
$385K |
| S5199 |
Personal care item nos each |
27,143 |
26,422 |
$337K |
| T4524 |
Adult size brief/diaper xl |
2,554 |
2,490 |
$240K |
| A4335 |
Incontinence supply |
35,518 |
33,256 |
$230K |
| T4523 |
Adult size brief/diaper lg |
2,850 |
2,761 |
$209K |
| T4525 |
Adult size pull-on sm |
3,630 |
3,482 |
$173K |
| T4522 |
Adult size brief/diaper med |
1,495 |
1,443 |
$92K |
| T4543 |
Adult disp brief/diap abv xl |
575 |
560 |
$82K |
| T4544 |
Adlt disp und/pull on abv xl |
763 |
736 |
$79K |
| A6250 |
Skin seal protect moisturizr |
18,612 |
17,869 |
$61K |
| B4150 |
Ef complet w/intact nutrient |
461 |
436 |
$48K |
| A4245 |
Alcohol wipes per box |
290 |
272 |
$214.83 |