| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
17,259 |
17,185 |
$1.59M |
| T4543 |
Adult disp brief/diap abv xl |
6,269 |
6,233 |
$1.25M |
| T4537 |
Reusable underpad bed size |
30,669 |
30,521 |
$1.25M |
| T4544 |
Adlt disp und/pull on abv xl |
6,744 |
6,708 |
$1.18M |
| T4523 |
Adult size brief/diaper lg |
14,475 |
14,408 |
$929K |
| T4528 |
Adult size pull-on xl |
5,351 |
5,315 |
$561K |
| T4541 |
Large disposable underpad |
30,878 |
30,729 |
$433K |
| T4535 |
Disposable liner/shield/pad |
13,910 |
13,852 |
$431K |
| T4524 |
Adult size brief/diaper xl |
4,407 |
4,383 |
$293K |
| A6533 |
Gc stocking thighlngth 18-30 |
3,009 |
2,896 |
$203K |
| A4927 |
Non-sterile gloves |
5,857 |
5,595 |
$70K |
| A6530 |
Compression stocking bk18-30 |
302 |
300 |
$17K |
| T4536 |
Reusable pull-on any size |
447 |
446 |
$11K |
| A4335 |
Incontinence supply |
382 |
335 |
$4K |
| A5512 |
Multi den insert direct form |
84 |
71 |
$217.26 |
| A5500 |
Diab shoe for density insert |
86 |
73 |
$183.56 |