| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult size pull-on med |
11,158 |
10,795 |
$1.28M |
| T4541 |
Large disposable underpad |
27,394 |
26,594 |
$1.23M |
| T4534 |
Youth size pull-on |
8,862 |
8,619 |
$1.19M |
| T4527 |
Adult size pull-on lg |
9,447 |
9,148 |
$1.05M |
| A4927 |
Non-sterile gloves |
39,719 |
37,895 |
$704K |
| T4535 |
Disposable liner/shield/pad |
13,101 |
12,692 |
$692K |
| T4528 |
Adult size pull-on xl |
5,499 |
5,287 |
$604K |
| T4530 |
Ped size brief/diaper lg |
5,000 |
4,777 |
$551K |
| T4523 |
Adult size brief/diaper lg |
4,112 |
3,957 |
$517K |
| T4532 |
Ped size pull-on lg |
3,810 |
3,662 |
$404K |
| T4522 |
Adult size brief/diaper med |
3,812 |
3,681 |
$365K |
| T4537 |
Reusable underpad bed size |
18,252 |
17,728 |
$301K |
| T4525 |
Adult size pull-on sm |
2,344 |
2,257 |
$257K |
| T4544 |
Adlt disp und/pull on abv xl |
1,268 |
1,231 |
$225K |
| T4524 |
Adult size brief/diaper xl |
1,716 |
1,656 |
$207K |
| T4543 |
Adult disp brief/diap abv xl |
676 |
658 |
$126K |
| T4521 |
Adult size brief/diaper sm |
277 |
262 |
$25K |
| T4533 |
Youth size brief/diaper |
88 |
88 |
$8K |
| A4351 |
Straight tip urine catheter |
51 |
49 |
$6K |