| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Special med equip, noswaiver |
63,639 |
60,307 |
$10.99M |
| T4527 |
Adult size pull-on lg |
99,815 |
89,092 |
$9.28M |
| T4528 |
Adult size pull-on xl |
82,294 |
72,560 |
$8.45M |
| T4541 |
Large disposable underpad |
135,466 |
127,058 |
$7.05M |
| T4526 |
Adult size pull-on med |
70,723 |
63,167 |
$6.54M |
| T4535 |
Disposable liner/shield/pad |
173,376 |
162,808 |
$6.44M |
| T4522 |
Adult size brief/diaper med |
44,443 |
41,141 |
$3.85M |
| T4523 |
Adult size brief/diaper lg |
36,373 |
34,076 |
$3.44M |
| T4534 |
Youth size pull-on |
29,504 |
27,160 |
$2.97M |
| T4544 |
Adlt disp und/pull on abv xl |
15,357 |
14,410 |
$2.71M |
| T4524 |
Adult size brief/diaper xl |
18,133 |
17,014 |
$2.03M |
| A4927 |
Non-sterile gloves |
162,615 |
146,809 |
$1.92M |
| A4554 |
Disposable underpads |
42,962 |
40,079 |
$1.85M |
| T4525 |
Adult size pull-on sm |
16,914 |
15,403 |
$1.46M |
| T4533 |
Youth size brief/diaper |
16,819 |
15,614 |
$1.30M |
| T4521 |
Adult size brief/diaper sm |
14,205 |
13,303 |
$1.17M |
| T4543 |
Adult disp brief/diap abv xl |
5,673 |
5,278 |
$1.10M |
| T4537 |
Reusable underpad bed size |
24,892 |
23,827 |
$868K |
| T4532 |
Ped size pull-on lg |
9,904 |
9,102 |
$848K |
| T4530 |
Ped size brief/diaper lg |
8,292 |
7,769 |
$815K |
| A4335 |
Incontinence supply |
23,843 |
17,814 |
$800K |
| A4351 |
Straight tip urine catheter |
2,372 |
1,976 |
$278K |
| T4540 |
Reusable underpad chair size |
12,191 |
11,725 |
$228K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
717 |
588 |
$86K |
| T4539 |
Reuse diaper/brief any size |
2,625 |
2,577 |
$77K |
| B4150 |
Ef complet w/intact nutrient |
733 |
469 |
$57K |
| E1399 |
Durable medical equipment mi |
1,048 |
800 |
$40K |
| A4520 |
Incontinence garment anytype |
5,920 |
5,081 |
$26K |
| A4553 |
Nondisp underpads, all sizes |
2,097 |
1,665 |
$26K |
| T4536 |
Reusable pull-on any size |
1,219 |
1,060 |
$25K |
| A4349 |
Disposable male external cat |
788 |
621 |
$24K |
| A4670 |
Automatic bp monitor, dial |
494 |
491 |
$24K |
| T4531 |
Ped size pull-on sm/med |
252 |
182 |
$16K |
| A4357 |
Bedside drainage bag |
843 |
670 |
$6K |
| T4542 |
Small disposable underpad |
167 |
161 |
$4K |
| A9286 |
Any hygienic item, device |
166 |
133 |
$2K |
| A4358 |
Urinary leg or abdomen bag |
129 |
93 |
$464.07 |
| A4402 |
Lubricant per ounce |
26 |
26 |
$27.98 |