| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
8,651 |
8,257 |
$651K |
| T4526 |
Adult size pull-on med |
5,323 |
5,113 |
$621K |
| T4527 |
Adult size pull-on lg |
5,350 |
5,172 |
$587K |
| T4541 |
Large disposable underpad |
12,642 |
12,124 |
$524K |
| T4528 |
Adult size pull-on xl |
2,884 |
2,763 |
$302K |
| T4534 |
Youth size pull-on |
2,148 |
2,026 |
$252K |
| T4522 |
Adult size brief/diaper med |
1,534 |
1,444 |
$174K |
| T4523 |
Adult size brief/diaper lg |
1,056 |
1,015 |
$143K |
| T4530 |
Ped size brief/diaper lg |
862 |
814 |
$130K |
| T4525 |
Adult size pull-on sm |
1,035 |
984 |
$113K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
535 |
506 |
$94K |
| T4532 |
Ped size pull-on lg |
687 |
651 |
$78K |
| T4544 |
Adlt disp und/pull on abv xl |
564 |
531 |
$62K |
| T4524 |
Adult size brief/diaper xl |
297 |
275 |
$38K |
| B9998 |
Enteral supp not otherwise c |
205 |
102 |
$26K |
| A4927 |
Non-sterile gloves |
1,374 |
1,307 |
$16K |
| A4351 |
Straight tip urine catheter |
68 |
63 |
$14K |
| B4150 |
Ef complet w/intact nutrient |
14 |
13 |
$2K |