| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
18,959 |
17,937 |
$1.81M |
| A4927 |
Non-sterile gloves |
75,164 |
70,164 |
$1.61M |
| T4526 |
Adult size pull-on med |
17,625 |
16,711 |
$1.46M |
| T4528 |
Adult size pull-on xl |
11,481 |
10,743 |
$1.10M |
| T4541 |
Large disposable underpad |
32,267 |
29,824 |
$1.07M |
| T4535 |
Disposable liner/shield/pad |
23,231 |
22,115 |
$1.00M |
| T4537 |
Reusable underpad bed size |
15,024 |
14,669 |
$592K |
| T4523 |
Adult size brief/diaper lg |
5,496 |
5,007 |
$444K |
| T4524 |
Adult size brief/diaper xl |
4,519 |
4,144 |
$430K |
| T4544 |
Adlt disp und/pull on abv xl |
3,689 |
3,272 |
$427K |
| T4543 |
Adult disp brief/diap abv xl |
2,008 |
1,809 |
$395K |
| A4335 |
Incontinence supply |
10,348 |
9,724 |
$252K |
| T4522 |
Adult size brief/diaper med |
2,655 |
2,343 |
$187K |
| T4525 |
Adult size pull-on sm |
2,061 |
1,904 |
$149K |
| T4534 |
Youth size pull-on |
1,189 |
944 |
$77K |
| A4351 |
Straight tip urine catheter |
185 |
154 |
$20K |
| A4520 |
Incontinence garment anytype |
2,339 |
1,724 |
$4K |
| A4670 |
Automatic bp monitor, dial |
66 |
59 |
$2K |
| A4357 |
Bedside drainage bag |
245 |
211 |
$2K |
| A4358 |
Urinary leg or abdomen bag |
246 |
226 |
$1K |
| S9999 |
Sales tax |
104 |
85 |
$1K |
| A4554 |
Disposable underpads |
549 |
408 |
$385.28 |