| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,466 |
1,278 |
$505K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,229 |
1,171 |
$346K |
| A4554 |
Disposable underpads, all sizes |
2,247 |
1,215 |
$148K |
| A4927 |
Gloves, non-sterile, per 100 |
2,352 |
1,259 |
$54K |
| A5120 |
Skin barrier, wipes or swabs, each |
867 |
831 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
64 |
58 |
$6K |