| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
2,398 |
2,356 |
$126K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,396 |
1,300 |
$86K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
366 |
353 |
$27K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
251 |
237 |
$13K |
| A4927 |
Gloves, non-sterile, per 100 |
695 |
688 |
$8K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$1K |
| A4335 |
Incontinence supply; miscellaneous |
61 |
61 |
$335.26 |