| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,095 |
2,034 |
$242K |
| A4554 |
Disposable underpads, all sizes |
4,161 |
4,035 |
$237K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,275 |
1,975 |
$113K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,040 |
1,010 |
$108K |
| S5199 |
Personal care item, nos, each |
4,213 |
4,078 |
$108K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,261 |
1,226 |
$84K |
| A4927 |
Gloves, non-sterile, per 100 |
4,240 |
4,102 |
$64K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
574 |
548 |
$45K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
32 |
32 |
$4K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
13 |
13 |
$3K |