| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Non-sterile gloves |
240,537 |
235,611 |
$6.87M |
| T4541 |
Large disposable underpad |
119,382 |
118,208 |
$6.42M |
| T4527 |
Adult size pull-on lg |
61,751 |
61,103 |
$5.58M |
| T4535 |
Disposable liner/shield/pad |
136,500 |
134,261 |
$3.91M |
| T4528 |
Adult size pull-on xl |
35,434 |
34,948 |
$3.15M |
| T4537 |
Reusable underpad bed size |
79,325 |
78,094 |
$3.14M |
| T4526 |
Adult size pull-on med |
40,200 |
39,656 |
$3.05M |
| T4543 |
Adult disp brief/diap abv xl |
11,427 |
11,264 |
$2.73M |
| T4524 |
Adult size brief/diaper xl |
25,596 |
25,332 |
$2.40M |
| A4335 |
Incontinence supply |
78,107 |
77,306 |
$2.22M |
| T4523 |
Adult size brief/diaper lg |
26,503 |
26,108 |
$2.08M |
| T4544 |
Adlt disp und/pull on abv xl |
7,182 |
7,068 |
$1.13M |
| T4522 |
Adult size brief/diaper med |
8,353 |
8,278 |
$525K |
| T4534 |
Youth size pull-on |
4,558 |
4,477 |
$395K |
| T4525 |
Adult size pull-on sm |
4,120 |
4,022 |
$307K |
| S9999 |
Sales tax |
24,891 |
23,253 |
$298K |
| T4533 |
Youth size brief/diaper |
1,267 |
1,143 |
$67K |
| A4351 |
Straight tip urine catheter |
231 |
230 |
$29K |
| A4349 |
Disposable male external cat |
535 |
522 |
$18K |
| A4357 |
Bedside drainage bag |
1,920 |
1,857 |
$17K |
| A4358 |
Urinary leg or abdomen bag |
1,157 |
1,140 |
$8K |
| T4530 |
Ped size brief/diaper lg |
128 |
128 |
$8K |
| A4314 |
Cath w/drainage 2-way latex |
255 |
229 |
$7K |
| T4521 |
Adult size brief/diaper sm |
24 |
24 |
$1K |