| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
11,392 |
11,253 |
$748K |
| T4535 |
Disposable liner/shield/pad |
12,774 |
12,618 |
$366K |
| T4523 |
Adult size brief/diaper lg |
6,673 |
6,584 |
$282K |
| T4537 |
Reusable underpad bed size |
6,133 |
6,030 |
$244K |
| T4541 |
Large disposable underpad |
15,353 |
15,145 |
$230K |
| T4536 |
Reusable pull-on any size |
11,619 |
11,474 |
$158K |
| T4528 |
Adult size pull-on xl |
1,643 |
1,615 |
$131K |
| T4526 |
Adult size pull-on med |
1,924 |
1,888 |
$120K |
| A4927 |
Non-sterile gloves |
6,593 |
6,472 |
$38K |
| T4524 |
Adult size brief/diaper xl |
648 |
641 |
$33K |
| T4522 |
Adult size brief/diaper med |
771 |
756 |
$30K |
| A6533 |
Gc stocking thighlngth 18-30 |
337 |
336 |
$25K |
| A6530 |
Compression stocking bk18-30 |
228 |
225 |
$12K |
| A4335 |
Incontinence supply |
4,678 |
4,544 |
$11K |
| A4253 |
Blood glucose/reagent strips |
217 |
203 |
$636.41 |
| A4259 |
Lancets per box |
197 |
184 |
$48.39 |
| A4245 |
Alcohol wipes per box |
12 |
12 |
$1.31 |