| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
7,354 |
6,734 |
$520K |
| T4526 |
Adult size pull-on med |
6,520 |
6,150 |
$428K |
| A4927 |
Non-sterile gloves |
19,278 |
18,108 |
$421K |
| T4535 |
Disposable liner/shield/pad |
7,753 |
7,288 |
$417K |
| T4528 |
Adult size pull-on xl |
5,939 |
5,447 |
$401K |
| T4537 |
Reusable underpad bed size |
8,801 |
8,446 |
$344K |
| T4541 |
Large disposable underpad |
13,685 |
12,729 |
$296K |
| W0137 |
|
9,106 |
9,061 |
$165K |
| T4523 |
Adult size brief/diaper lg |
1,916 |
1,823 |
$162K |
| T4543 |
Adult disp brief/diap abv xl |
658 |
618 |
$113K |
| T4525 |
Adult size pull-on sm |
1,104 |
1,053 |
$65K |
| T4524 |
Adult size brief/diaper xl |
791 |
766 |
$65K |
| T4521 |
Adult size brief/diaper sm |
575 |
574 |
$60K |
| T4522 |
Adult size brief/diaper med |
480 |
476 |
$43K |
| A4335 |
Incontinence supply |
3,408 |
2,340 |
$38K |
| T4544 |
Adlt disp und/pull on abv xl |
230 |
225 |
$24K |