| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
2,401 |
2,305 |
$541K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,687 |
1,539 |
$487K |
| T4523 |
Adult size brief/diaper lg |
2,130 |
2,019 |
$468K |
| T4526 |
Adult size pull-on med |
2,043 |
1,964 |
$433K |
| A4335 |
Incontinence supply |
10,281 |
9,388 |
$423K |
| T4522 |
Adult size brief/diaper med |
1,755 |
1,680 |
$347K |
| T4535 |
Disposable liner/shield/pad |
2,963 |
2,853 |
$305K |
| T4541 |
Large disposable underpad |
6,288 |
6,110 |
$298K |
| T4528 |
Adult size pull-on xl |
1,240 |
1,184 |
$276K |
| T4537 |
Reusable underpad bed size |
5,831 |
5,642 |
$183K |
| B4150 |
Ef complet w/intact nutrient |
717 |
656 |
$167K |
| A4927 |
Non-sterile gloves |
1,989 |
1,855 |
$166K |
| T4524 |
Adult size brief/diaper xl |
278 |
263 |
$71K |
| T4540 |
Reusable underpad chair size |
3,151 |
3,060 |
$67K |
| A4554 |
Disposable underpads |
329 |
320 |
$32K |
| B4100 |
Food thickener oral |
14 |
12 |
$7K |