| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
101,227 |
95,532 |
$43.32M |
| T4528 |
Adult size pull-on xl |
35,805 |
33,909 |
$19.54M |
| T4527 |
Adult size pull-on lg |
29,605 |
27,925 |
$13.41M |
| T4526 |
Adult size pull-on med |
26,601 |
25,145 |
$11.54M |
| T4532 |
Ped size pull-on lg |
17,697 |
16,765 |
$7.86M |
| T4535 |
Disposable liner/shield/pad |
41,111 |
38,750 |
$7.16M |
| T4530 |
Ped size brief/diaper lg |
12,925 |
12,169 |
$4.22M |
| T4524 |
Adult size brief/diaper xl |
6,459 |
6,079 |
$3.65M |
| T4522 |
Adult size brief/diaper med |
9,185 |
8,685 |
$3.57M |
| T4523 |
Adult size brief/diaper lg |
6,999 |
6,597 |
$2.80M |
| T4525 |
Adult size pull-on sm |
6,575 |
6,205 |
$2.66M |
| G0299 |
Hhs/hospice of rn ea 15 min |
18,623 |
4,451 |
$1.56M |
| T4521 |
Adult size brief/diaper sm |
4,400 |
4,091 |
$1.53M |
| T4531 |
Ped size pull-on sm/med |
3,838 |
3,525 |
$1.34M |
| A4927 |
Non-sterile gloves |
8,794 |
8,648 |
$795K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
8,251 |
2,318 |
$664K |
| T4534 |
Youth size pull-on |
1,492 |
1,383 |
$628K |
| A9286 |
Any hygienic item, device |
12,422 |
12,219 |
$415K |
| T4529 |
Ped size brief/diaper sm/med |
921 |
879 |
$294K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,609 |
590 |
$131K |
| B4100 |
Food thickener oral |
379 |
351 |
$80K |
| A6250 |
Skin seal protect moisturizr |
2,963 |
2,761 |
$67K |