| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4544 |
Adlt disp und/pull on abv xl |
4,915 |
4,728 |
$1.36M |
| T4527 |
Adult size pull-on lg |
6,276 |
6,128 |
$1.05M |
| A4554 |
Disposable underpads |
25,238 |
24,606 |
$929K |
| T4528 |
Adult size pull-on xl |
4,304 |
4,201 |
$875K |
| T4526 |
Adult size pull-on med |
5,741 |
5,631 |
$809K |
| A6250 |
Skin seal protect moisturizr |
15,428 |
14,941 |
$216K |
| A4927 |
Non-sterile gloves |
21,520 |
21,062 |
$163K |
| A4335 |
Incontinence supply |
23,930 |
23,433 |
$122K |
| T4524 |
Adult size brief/diaper xl |
893 |
864 |
$115K |
| T4525 |
Adult size pull-on sm |
958 |
937 |
$114K |
| S5199 |
Personal care item nos each |
1,813 |
1,683 |
$101K |
| A4353 |
Intermittent urinary cath |
152 |
140 |
$88K |
| T4535 |
Disposable liner/shield/pad |
475 |
450 |
$41K |
| A4670 |
Automatic bp monitor, dial |
98 |
96 |
$5K |
| T4522 |
Adult size brief/diaper med |
37 |
36 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$801.21 |
| E0240 |
Bath/shower chair |
25 |
25 |
$233.34 |