| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
20,880 |
20,667 |
$3.57M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
34,342 |
33,938 |
$2.28M |
| A5120 |
Skin barrier, wipes or swabs, each |
38,257 |
37,581 |
$2.04M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
11,814 |
11,700 |
$2.00M |
| A4554 |
Disposable underpads, all sizes |
36,017 |
35,625 |
$1.58M |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
3,473 |
3,440 |
$1.38M |
| A4927 |
Gloves, non-sterile, per 100 |
38,829 |
38,388 |
$1.06M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,602 |
6,513 |
$1.06M |
| A4553 |
Non-disposable underpads, all sizes |
29,004 |
28,651 |
$445K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
309 |
309 |
$79K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,846 |
2,844 |
$47K |
| A4670 |
Automatic blood pressure monitor |
14 |
14 |
$663.04 |