| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,286 |
3,203 |
$1.51M |
| A4554 |
Disposable underpads, all sizes |
3,213 |
3,139 |
$197K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,041 |
1,019 |
$179K |
| S5199 |
Personal care item, nos, each |
2,754 |
2,692 |
$171K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,613 |
2,545 |
$157K |
| A4927 |
Gloves, non-sterile, per 100 |
3,295 |
3,208 |
$72K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
369 |
360 |
$55K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
138 |
138 |
$15K |
| A5120 |
Skin barrier, wipes or swabs, each |
440 |
421 |
$5K |