| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
58,329 |
57,069 |
$4.67M |
| T4526 |
Adult size pull-on med |
56,050 |
55,203 |
$4.21M |
| T4541 |
Large disposable underpad |
153,473 |
150,641 |
$4.11M |
| T4535 |
Disposable liner/shield/pad |
99,698 |
97,836 |
$3.71M |
| T4528 |
Adult size pull-on xl |
37,562 |
36,803 |
$3.19M |
| A4927 |
Non-sterile gloves |
172,177 |
157,063 |
$2.85M |
| T4537 |
Reusable underpad bed size |
70,181 |
69,225 |
$2.29M |
| T4544 |
Adlt disp und/pull on abv xl |
16,103 |
15,802 |
$2.25M |
| T4543 |
Adult disp brief/diap abv xl |
7,297 |
7,122 |
$1.41M |
| T4523 |
Adult size brief/diaper lg |
9,435 |
9,193 |
$796K |
| T4524 |
Adult size brief/diaper xl |
7,416 |
7,194 |
$629K |
| T4522 |
Adult size brief/diaper med |
7,696 |
7,557 |
$557K |
| T4525 |
Adult size pull-on sm |
6,489 |
6,415 |
$481K |
| A4520 |
Incontinence garment anytype |
19,866 |
18,142 |
$305K |
| W0137 |
|
4,519 |
4,493 |
$279K |
| A4335 |
Incontinence supply |
56,946 |
50,948 |
$258K |
| A4554 |
Disposable underpads |
24,834 |
22,301 |
$201K |
| T4534 |
Youth size pull-on |
723 |
711 |
$76K |
| T4540 |
Reusable underpad chair size |
1,723 |
1,709 |
$40K |
| A6250 |
Skin seal protect moisturizr |
8,506 |
7,114 |
$32K |
| T4530 |
Ped size brief/diaper lg |
214 |
211 |
$23K |
| T4521 |
Adult size brief/diaper sm |
327 |
324 |
$22K |
| T4542 |
Small disposable underpad |
2,176 |
2,013 |
$15K |
| A4357 |
Bedside drainage bag |
340 |
294 |
$907.99 |
| A6530 |
Compression stocking bk18-30 |
13 |
12 |
$271.30 |
| A4358 |
Urinary leg or abdomen bag |
124 |
103 |
$109.84 |
| A4452 |
Waterproof tape |
104 |
101 |
$39.84 |
| A4349 |
Disposable male external cat |
12 |
12 |
$34.48 |