| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
9,352 |
8,974 |
$690K |
| T4527 |
Adult size pull-on lg |
3,283 |
3,155 |
$619K |
| T4526 |
Adult size pull-on med |
3,242 |
3,139 |
$582K |
| A5120 |
Skin barrier, wipe or swab |
10,513 |
10,052 |
$519K |
| T4541 |
Large disposable underpad |
8,527 |
8,241 |
$463K |
| T4528 |
Adult size pull-on xl |
2,267 |
2,197 |
$431K |
| A4927 |
Non-sterile gloves |
13,399 |
12,777 |
$349K |
| T4524 |
Adult size brief/diaper xl |
1,342 |
1,279 |
$247K |
| A4554 |
Disposable underpads |
2,523 |
2,351 |
$241K |
| A4369 |
Skin barrier liquid per oz |
6,584 |
6,364 |
$179K |
| A6250 |
Skin seal protect moisturizr |
1,323 |
1,255 |
$57K |
| T4523 |
Adult size brief/diaper lg |
300 |
285 |
$53K |
| T4537 |
Reusable underpad bed size |
512 |
512 |
$9K |
| A6402 |
Sterile gauze <= 16 sq in |
51 |
50 |
$3K |
| A6520 |
G com garmnt glove nghttime |
27 |
27 |
$0.00 |