| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
28,119 |
26,181 |
$9.34M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,811 |
16,291 |
$1.11M |
| A4554 |
Disposable underpads, all sizes |
21,481 |
20,639 |
$1.00M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
7,422 |
7,202 |
$747K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
6,712 |
6,535 |
$650K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
3,296 |
3,179 |
$524K |
| A4927 |
Gloves, non-sterile, per 100 |
28,065 |
27,191 |
$476K |
| A4772 |
Blood glucose test strips, for dialysis, per 50 |
2,500 |
2,438 |
$337K |
| A5120 |
Skin barrier, wipes or swabs, each |
29,149 |
28,306 |
$332K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
4,619 |
4,501 |
$323K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
422 |
416 |
$25K |
| A4245 |
Alcohol wipes, per box |
2,675 |
2,601 |
$19K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
631 |
553 |
$9K |
| A4670 |
Automatic blood pressure monitor |
68 |
64 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
54 |
53 |
$4K |
| A4452 |
Tape, waterproof, per 18 square inches |
124 |
120 |
$4K |
| S5199 |
Personal care item, nos, each |
175 |
173 |
$4K |
| A4259 |
Lancets, per box of 100 |
2,051 |
2,002 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
24 |
24 |
$2K |
| A6260 |
Wound cleansers, any type, any size |
25 |
25 |
$1K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
12 |
12 |
$490.00 |