| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Special med equip, noswaiver |
47,278 |
31,673 |
$2.73M |
| A4927 |
Non-sterile gloves |
31,668 |
20,671 |
$645K |
| T4527 |
Adult size pull-on lg |
8,650 |
7,911 |
$644K |
| A4554 |
Disposable underpads |
23,953 |
15,691 |
$543K |
| T4526 |
Adult size pull-on med |
7,917 |
7,286 |
$471K |
| T4535 |
Disposable liner/shield/pad |
11,152 |
10,015 |
$440K |
| T4528 |
Adult size pull-on xl |
5,538 |
5,095 |
$422K |
| T4543 |
Adult disp brief/diap abv xl |
1,400 |
1,260 |
$203K |
| T4544 |
Adlt disp und/pull on abv xl |
883 |
768 |
$172K |
| T4522 |
Adult size brief/diaper med |
2,134 |
1,928 |
$169K |
| T4523 |
Adult size brief/diaper lg |
2,268 |
2,077 |
$160K |
| E1399 |
Durable medical equipment mi |
1,641 |
1,206 |
$155K |
| T4534 |
Youth size pull-on |
1,992 |
1,769 |
$135K |
| A4520 |
Incontinence garment anytype |
19,699 |
15,798 |
$104K |
| T4525 |
Adult size pull-on sm |
1,596 |
1,483 |
$89K |
| T4524 |
Adult size brief/diaper xl |
885 |
776 |
$76K |
| T4530 |
Ped size brief/diaper lg |
1,256 |
1,123 |
$65K |
| A4649 |
Surgical supplies |
3,764 |
3,290 |
$56K |
| T4533 |
Youth size brief/diaper |
228 |
222 |
$31K |
| K0001 |
Standard wheelchair |
780 |
594 |
$9K |
| T4521 |
Adult size brief/diaper sm |
53 |
51 |
$6K |