| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
6,006 |
5,756 |
$955K |
| A4554 |
Disposable underpads, all sizes |
10,261 |
9,658 |
$924K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
11,362 |
10,833 |
$822K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,653 |
3,503 |
$665K |
| S5199 |
Personal care item, nos, each |
9,777 |
9,372 |
$647K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,029 |
1,923 |
$560K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,811 |
4,582 |
$459K |
| A4927 |
Gloves, non-sterile, per 100 |
13,534 |
12,933 |
$336K |
| A4928 |
Surgical mask, per 20 |
1,202 |
1,176 |
$21K |
| T4541 |
Incontinence product, disposable underpad, large, each |
217 |
204 |
$11K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
65 |
62 |
$8K |
| A4245 |
Alcohol wipes, per box |
541 |
511 |
$5K |