| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
6,218 |
3,892 |
$138K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,987 |
1,372 |
$128K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,695 |
1,168 |
$127K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,626 |
1,118 |
$98K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
771 |
547 |
$58K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
215 |
173 |
$25K |
| A4927 |
Gloves, non-sterile, per 100 |
4,565 |
3,011 |
$17K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
1,584 |
824 |
$14K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
189 |
126 |
$11K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
142 |
92 |
$11K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,289 |
1,405 |
$8K |
| E0245 |
Tub stool or bench |
23 |
12 |
$521.00 |