| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
58,579 |
55,089 |
$2.09M |
| T4535 |
Disposable liner/shield/pad |
52,221 |
49,458 |
$1.86M |
| T4527 |
Adult size pull-on lg |
19,712 |
18,760 |
$1.61M |
| T4528 |
Adult size pull-on xl |
13,747 |
13,130 |
$1.45M |
| T4526 |
Adult size pull-on med |
16,718 |
15,826 |
$1.31M |
| T4544 |
Adlt disp und/pull on abv xl |
5,610 |
5,267 |
$829K |
| A4927 |
Non-sterile gloves |
42,850 |
40,074 |
$472K |
| T4534 |
Youth size pull-on |
6,069 |
5,519 |
$380K |
| T4525 |
Adult size pull-on sm |
5,249 |
4,855 |
$344K |
| T4522 |
Adult size brief/diaper med |
4,811 |
4,449 |
$339K |
| T4523 |
Adult size brief/diaper lg |
3,643 |
3,400 |
$268K |
| T4530 |
Ped size brief/diaper lg |
3,173 |
2,919 |
$263K |
| T4524 |
Adult size brief/diaper xl |
1,883 |
1,731 |
$188K |
| T4543 |
Adult disp brief/diap abv xl |
684 |
638 |
$112K |
| B4150 |
Ef complet w/intact nutrient |
541 |
465 |
$37K |
| T4521 |
Adult size brief/diaper sm |
557 |
467 |
$29K |
| A4351 |
Straight tip urine catheter |
55 |
49 |
$9K |