| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
4,987 |
4,796 |
$515K |
| A4554 |
Disposable underpads, all sizes |
5,577 |
5,385 |
$302K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,498 |
1,447 |
$199K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,637 |
1,582 |
$180K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,719 |
2,627 |
$164K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
624 |
601 |
$118K |
| A4927 |
Gloves, non-sterile, per 100 |
5,849 |
5,625 |
$112K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,059 |
1,035 |
$82K |
| A6260 |
Wound cleansers, any type, any size |
750 |
732 |
$21K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
48 |
48 |
$6K |
| A5120 |
Skin barrier, wipes or swabs, each |
489 |
435 |
$5K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
24 |
24 |
$3K |
| A4928 |
Surgical mask, per 20 |
18 |
17 |
$90.00 |