| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
6,373 |
6,324 |
$450K |
| A4554 |
Disposable underpads, all sizes |
14,187 |
14,121 |
$369K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
10,240 |
10,167 |
$236K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,619 |
3,603 |
$225K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,898 |
1,891 |
$98K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
2,949 |
2,905 |
$79K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
694 |
691 |
$69K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,682 |
1,658 |
$53K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
572 |
562 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
863 |
837 |
$4K |