| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult disp brief/diap abv xl |
4,115 |
4,000 |
$1.12M |
| T4524 |
Adult size brief/diaper xl |
3,295 |
3,250 |
$437K |
| T4541 |
Large disposable underpad |
6,648 |
6,490 |
$252K |
| T4535 |
Disposable liner/shield/pad |
3,483 |
3,413 |
$224K |
| A4927 |
Non-sterile gloves |
7,422 |
7,274 |
$117K |
| A4930 |
Sterile, gloves per pair |
1,791 |
1,728 |
$91K |
| T4537 |
Reusable underpad bed size |
1,105 |
1,078 |
$82K |
| T2029 |
Special med equip, noswaiver |
1,823 |
1,621 |
$67K |
| E0190 |
Positioning cushion |
532 |
519 |
$44K |
| T4540 |
Reusable underpad chair size |
891 |
866 |
$35K |
| T4544 |
Adlt disp und/pull on abv xl |
33 |
33 |
$10K |
| A4369 |
Skin barrier liquid per oz |
480 |
456 |
$3K |