| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult size brief/diaper lg |
17,811 |
17,810 |
$1.23M |
| A4554 |
Disposable underpads |
33,035 |
33,028 |
$1.16M |
| T4522 |
Adult size brief/diaper med |
15,548 |
15,545 |
$809K |
| T4535 |
Disposable liner/shield/pad |
24,016 |
24,007 |
$671K |
| T4524 |
Adult size brief/diaper xl |
7,836 |
7,833 |
$646K |
| T4543 |
Adult disp brief/diap abv xl |
1,989 |
1,987 |
$334K |
| T4537 |
Reusable underpad bed size |
7,421 |
7,420 |
$244K |
| T4521 |
Adult size brief/diaper sm |
3,505 |
3,503 |
$162K |
| A4927 |
Non-sterile gloves |
20,226 |
20,220 |
$96K |
| T4539 |
Reuse diaper/brief any size |
2,954 |
2,953 |
$68K |
| T4540 |
Reusable underpad chair size |
949 |
949 |
$17K |
| A4402 |
Lubricant per ounce |
2,233 |
2,230 |
$14K |
| A4335 |
Incontinence supply |
2,407 |
2,406 |
$8K |
| E0240 |
Bath/shower chair |
216 |
216 |
$7K |
| E0241 |
Bath tub wall rail |
86 |
86 |
$2K |
| E1399 |
Durable medical equipment mi |
192 |
192 |
$873.18 |