| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
10,154 |
10,035 |
$818K |
| T4537 |
Reusable underpad bed size |
20,480 |
20,283 |
$805K |
| T4535 |
Disposable liner/shield/pad |
22,505 |
22,224 |
$718K |
| T4528 |
Adult size pull-on xl |
6,965 |
6,839 |
$657K |
| T4543 |
Adult disp brief/diap abv xl |
3,172 |
3,091 |
$650K |
| T4541 |
Large disposable underpad |
21,109 |
20,875 |
$345K |
| T4526 |
Adult size pull-on med |
3,427 |
3,384 |
$262K |
| T4536 |
Reusable pull-on any size |
7,747 |
7,659 |
$139K |
| A4927 |
Non-sterile gloves |
6,440 |
6,337 |
$74K |
| T4523 |
Adult size brief/diaper lg |
584 |
543 |
$33K |
| A4510 |
Full length surg stocking |
488 |
366 |
$23K |
| T4524 |
Adult size brief/diaper xl |
239 |
239 |
$16K |
| E0570 |
Nebulizer with compression |
13 |
12 |
$406.50 |