| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,496 |
1,389 |
$426K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,583 |
1,476 |
$108K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,576 |
1,463 |
$71K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,411 |
1,306 |
$64K |
| A4927 |
Gloves, non-sterile, per 100 |
1,624 |
1,508 |
$40K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
259 |
225 |
$31K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
1,247 |
1,164 |
$26K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
35 |
30 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
28 |
28 |
$4K |
| A4554 |
Disposable underpads, all sizes |
38 |
36 |
$1K |
| A4553 |
Non-disposable underpads, all sizes |
23 |
12 |
$155.80 |