| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult size brief/diaper lg |
23,347 |
23,291 |
$2.64M |
| T4541 |
Large disposable underpad |
48,961 |
48,784 |
$1.54M |
| T4524 |
Adult size brief/diaper xl |
11,613 |
11,562 |
$1.32M |
| T4522 |
Adult size brief/diaper med |
6,782 |
6,758 |
$574K |
| T4527 |
Adult size pull-on lg |
3,218 |
3,206 |
$243K |
| T4535 |
Disposable liner/shield/pad |
11,605 |
11,568 |
$224K |
| T4526 |
Adult size pull-on med |
2,613 |
2,606 |
$144K |
| T4537 |
Reusable underpad bed size |
4,926 |
4,926 |
$104K |
| T4528 |
Adult size pull-on xl |
1,224 |
1,219 |
$92K |
| A4335 |
Incontinence supply |
12,617 |
12,594 |
$82K |
| A6250 |
Skin seal protect moisturizr |
8,814 |
8,797 |
$80K |
| B4036 |
Enteral feed sup kit grav by |
170 |
169 |
$0.00 |
| B4150 |
Ef complet w/intact nutrient |
36 |
36 |
$0.00 |
| B4152 |
Ef calorie dense>/=1.5kcal |
12 |
12 |
$0.00 |