| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
20,167 |
20,148 |
$550K |
| T4522 |
Adult size brief/diaper med |
8,519 |
8,501 |
$352K |
| T4523 |
Adult size brief/diaper lg |
4,884 |
4,875 |
$301K |
| A4554 |
Disposable underpads |
7,882 |
7,873 |
$213K |
| T4539 |
Reuse diaper/brief any size |
4,542 |
4,542 |
$129K |
| T4537 |
Reusable underpad bed size |
3,957 |
3,954 |
$111K |
| A4927 |
Non-sterile gloves |
15,811 |
15,801 |
$66K |
| A4335 |
Incontinence supply |
10,197 |
10,197 |
$60K |
| T4521 |
Adult size brief/diaper sm |
883 |
881 |
$35K |
| A4402 |
Lubricant per ounce |
1,369 |
1,364 |
$11K |
| B4150 |
Ef complet w/intact nutrient |
106 |
105 |
$9K |
| T4524 |
Adult size brief/diaper xl |
110 |
109 |
$9K |
| E1399 |
Durable medical equipment mi |
1,347 |
1,346 |
$9K |
| E0240 |
Bath/shower chair |
12 |
12 |
$460.08 |