| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Non-sterile gloves |
17,823 |
15,200 |
$748K |
| T4535 |
Disposable liner/shield/pad |
13,121 |
12,518 |
$695K |
| T4541 |
Large disposable underpad |
14,890 |
14,772 |
$670K |
| T4527 |
Adult size pull-on lg |
6,444 |
6,428 |
$493K |
| T5999 |
Supply, nos |
16,887 |
16,506 |
$448K |
| T4528 |
Adult size pull-on xl |
3,681 |
3,654 |
$272K |
| T4526 |
Adult size pull-on med |
4,478 |
4,463 |
$272K |
| A6250 |
Skin seal protect moisturizr |
12,970 |
12,922 |
$176K |
| T4524 |
Adult size brief/diaper xl |
1,819 |
1,807 |
$161K |
| T4523 |
Adult size brief/diaper lg |
1,863 |
1,854 |
$157K |
| T4522 |
Adult size brief/diaper med |
1,121 |
1,119 |
$94K |
| T4525 |
Adult size pull-on sm |
1,596 |
1,589 |
$93K |
| A4335 |
Incontinence supply |
12,259 |
12,228 |
$80K |
| A4351 |
Straight tip urine catheter |
271 |
270 |
$63K |
| A4670 |
Automatic bp monitor, dial |
407 |
407 |
$34K |
| T4537 |
Reusable underpad bed size |
1,231 |
1,231 |
$31K |
| E0245 |
Tub stool or bench |
214 |
214 |
$13K |
| A4425 |
Ost pch drain for barrier fl |
172 |
167 |
$10K |
| E0247 |
Trans bench w/wo comm open |
94 |
94 |
$8K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
64 |
63 |
$6K |
| A5120 |
Skin barrier, wipe or swab |
925 |
914 |
$5K |
| A4456 |
Adhesive remover, wipes |
540 |
539 |
$3K |
| A4394 |
Ostomy pouch liq deodorant |
76 |
75 |
$2K |
| E0241 |
Bath tub wall rail |
82 |
64 |
$2K |
| A4406 |
Pectin based ostomy paste |
75 |
75 |
$1K |
| E0244 |
Toilet seat raised |
14 |
14 |
$700.89 |