| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
725 |
620 |
$210K |
| A4554 |
Disposable underpads, all sizes |
627 |
588 |
$35K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
136 |
131 |
$29K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
151 |
139 |
$28K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
354 |
313 |
$26K |
| A4927 |
Gloves, non-sterile, per 100 |
1,100 |
1,011 |
$21K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
74 |
68 |
$18K |
| A5122 |
Skin barrier; solid, 8 x 8 or equivalent, each |
301 |
273 |
$16K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
639 |
575 |
$8K |
| A5120 |
Skin barrier, wipes or swabs, each |
258 |
229 |
$2K |