| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
4,893 |
3,955 |
$1.24M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,870 |
1,725 |
$491K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,546 |
2,378 |
$466K |
| A4554 |
Disposable underpads, all sizes |
3,691 |
3,130 |
$301K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,011 |
3,645 |
$283K |
| A4927 |
Gloves, non-sterile, per 100 |
5,784 |
4,947 |
$147K |
| A5120 |
Skin barrier, wipes or swabs, each |
5,353 |
4,877 |
$89K |
| T4541 |
Incontinence product, disposable underpad, large, each |
959 |
913 |
$50K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
274 |
258 |
$47K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
2,976 |
2,346 |
$42K |