| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
33,352 |
32,488 |
$3.19M |
| A4927 |
Non-sterile gloves |
143,839 |
136,414 |
$3.02M |
| T4526 |
Adult size pull-on med |
33,952 |
32,981 |
$2.71M |
| T4537 |
Reusable underpad bed size |
61,781 |
60,495 |
$2.09M |
| T4541 |
Large disposable underpad |
45,729 |
44,808 |
$2.04M |
| T4535 |
Disposable liner/shield/pad |
52,671 |
50,722 |
$1.99M |
| T4528 |
Adult size pull-on xl |
19,162 |
18,630 |
$1.78M |
| T4523 |
Adult size brief/diaper lg |
11,927 |
11,619 |
$1.14M |
| T4544 |
Adlt disp und/pull on abv xl |
6,734 |
6,541 |
$1.13M |
| T4534 |
Youth size pull-on |
9,381 |
9,179 |
$835K |
| T4522 |
Adult size brief/diaper med |
9,890 |
9,657 |
$786K |
| T4524 |
Adult size brief/diaper xl |
6,522 |
6,347 |
$718K |
| T4543 |
Adult disp brief/diap abv xl |
2,644 |
2,593 |
$710K |
| T4525 |
Adult size pull-on sm |
6,535 |
6,410 |
$530K |
| A4335 |
Incontinence supply |
21,207 |
20,607 |
$500K |
| T4533 |
Youth size brief/diaper |
1,633 |
1,599 |
$114K |
| A4351 |
Straight tip urine catheter |
655 |
611 |
$82K |
| T4521 |
Adult size brief/diaper sm |
940 |
914 |
$63K |
| T4532 |
Ped size pull-on lg |
844 |
828 |
$63K |
| T4530 |
Ped size brief/diaper lg |
1,003 |
978 |
$62K |
| B4150 |
Ef complet w/intact nutrient |
572 |
403 |
$35K |
| S9999 |
Sales tax |
371 |
363 |
$3K |
| A4357 |
Bedside drainage bag |
131 |
125 |
$2K |
| A4520 |
Incontinence garment anytype |
63 |
51 |
$96.66 |