| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
4,058 |
3,852 |
$1.01M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,595 |
2,483 |
$155K |
| A4554 |
Disposable underpads, all sizes |
2,173 |
2,057 |
$97K |
| A4927 |
Gloves, non-sterile, per 100 |
3,299 |
3,106 |
$55K |
| A5120 |
Skin barrier, wipes or swabs, each |
3,924 |
3,714 |
$42K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
487 |
477 |
$39K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
373 |
364 |
$32K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
469 |
463 |
$29K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
1,529 |
1,445 |
$22K |