| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth size pull-on |
58,509 |
58,039 |
$8.09M |
| T4530 |
Ped size brief/diaper lg |
24,334 |
24,108 |
$2.80M |
| T4522 |
Adult size brief/diaper med |
23,567 |
23,359 |
$2.56M |
| T4526 |
Adult size pull-on med |
23,708 |
23,522 |
$2.37M |
| T4527 |
Adult size pull-on lg |
17,919 |
17,801 |
$1.91M |
| T4535 |
Disposable liner/shield/pad |
37,807 |
37,417 |
$1.82M |
| T4523 |
Adult size brief/diaper lg |
12,411 |
12,303 |
$1.47M |
| T4532 |
Ped size pull-on lg |
13,443 |
13,351 |
$1.46M |
| T4528 |
Adult size pull-on xl |
11,823 |
11,689 |
$1.22M |
| T4541 |
Large disposable underpad |
43,260 |
42,787 |
$994K |
| T4544 |
Adlt disp und/pull on abv xl |
4,636 |
4,599 |
$842K |
| T4524 |
Adult size brief/diaper xl |
5,549 |
5,516 |
$658K |
| T4537 |
Reusable underpad bed size |
14,808 |
14,684 |
$611K |
| T4521 |
Adult size brief/diaper sm |
5,252 |
5,148 |
$587K |
| T4533 |
Youth size brief/diaper |
4,278 |
4,233 |
$494K |
| T4543 |
Adult disp brief/diap abv xl |
2,280 |
2,273 |
$449K |
| A4927 |
Non-sterile gloves |
9,947 |
9,782 |
$155K |
| T4529 |
Ped size brief/diaper sm/med |
926 |
922 |
$106K |
| A4351 |
Straight tip urine catheter |
512 |
510 |
$92K |
| E1399 |
Durable medical equipment mi |
618 |
533 |
$74K |
| T4531 |
Ped size pull-on sm/med |
718 |
714 |
$70K |