| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,495 |
1,648 |
$323K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,239 |
1,175 |
$225K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,108 |
1,371 |
$216K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,270 |
1,308 |
$181K |
| A4927 |
Gloves, non-sterile, per 100 |
7,589 |
4,308 |
$141K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
198 |
193 |
$13K |
| T4541 |
Incontinence product, disposable underpad, large, each |
388 |
249 |
$9K |