| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Special med equip, noswaiver |
59,550 |
58,510 |
$9.94M |
| T4526 |
Adult size pull-on med |
11,221 |
10,841 |
$1.04M |
| T4527 |
Adult size pull-on lg |
10,177 |
9,865 |
$1.01M |
| T4528 |
Adult size pull-on xl |
8,599 |
8,425 |
$903K |
| T4535 |
Disposable liner/shield/pad |
13,709 |
13,401 |
$832K |
| T2028 |
Special supply, nos waiver |
4,065 |
3,888 |
$806K |
| T4534 |
Youth size pull-on |
7,324 |
7,229 |
$800K |
| T4525 |
Adult size pull-on sm |
4,689 |
4,652 |
$510K |
| B4035 |
Enteral feed supp pump per d |
1,536 |
1,459 |
$461K |
| T4532 |
Ped size pull-on lg |
3,722 |
3,606 |
$452K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,526 |
3,468 |
$451K |
| A4554 |
Disposable underpads |
10,216 |
10,016 |
$428K |
| T4530 |
Ped size brief/diaper lg |
4,296 |
4,183 |
$399K |
| A4927 |
Non-sterile gloves |
21,803 |
21,327 |
$300K |
| T4522 |
Adult size brief/diaper med |
2,838 |
2,626 |
$255K |
| T4523 |
Adult size brief/diaper lg |
2,444 |
2,330 |
$214K |
| T4521 |
Adult size brief/diaper sm |
2,417 |
2,335 |
$214K |
| B4150 |
Ef complet w/intact nutrient |
858 |
814 |
$179K |
| B9002 |
Enter nutr inf pump any type |
1,439 |
1,344 |
$143K |
| T4544 |
Adlt disp und/pull on abv xl |
1,323 |
1,299 |
$125K |
| T4531 |
Ped size pull-on sm/med |
663 |
641 |
$77K |
| A4253 |
Blood glucose/reagent strips |
738 |
728 |
$59K |
| T4524 |
Adult size brief/diaper xl |
242 |
241 |
$24K |
| B4152 |
Ef calorie dense>/=1.5kcal |
77 |
72 |
$21K |
| A4259 |
Lancets per box |
737 |
727 |
$14K |
| T4533 |
Youth size brief/diaper |
106 |
99 |
$9K |
| T4537 |
Reusable underpad bed size |
151 |
149 |
$8K |
| E0607 |
Blood glucose monitor home |
14 |
14 |
$2K |