| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
32,214 |
32,155 |
$1.94M |
| T4523 |
Adult size brief/diaper lg |
12,359 |
12,340 |
$865K |
| T4535 |
Disposable liner/shield/pad |
9,826 |
9,818 |
$630K |
| T4524 |
Adult size brief/diaper xl |
6,108 |
6,097 |
$524K |
| T4527 |
Adult size pull-on lg |
8,848 |
8,840 |
$457K |
| A6250 |
Skin seal protect moisturizr |
22,789 |
22,762 |
$370K |
| T4526 |
Adult size pull-on med |
7,093 |
7,086 |
$303K |
| T4522 |
Adult size brief/diaper med |
4,030 |
4,020 |
$215K |
| A4335 |
Incontinence supply |
27,880 |
27,850 |
$173K |
| T4528 |
Adult size pull-on xl |
2,707 |
2,704 |
$138K |
| T4537 |
Reusable underpad bed size |
4,485 |
4,482 |
$136K |
| T4536 |
Reusable pull-on any size |
6,309 |
6,302 |
$67K |
| E0245 |
Tub stool or bench |
53 |
53 |
$3K |
| E0241 |
Bath tub wall rail |
16 |
16 |
$439.82 |
| K0739 |
Repair/svc dme non-oxygen eq |
12 |
12 |
$219.15 |
| E0973 |
W/ch access det adj armrest |
12 |
12 |
$87.74 |