| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
9,897 |
8,957 |
$776K |
| A4927 |
Gloves, non-sterile, per 100 |
13,303 |
12,410 |
$770K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,359 |
4,899 |
$626K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,564 |
4,005 |
$442K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,307 |
3,098 |
$435K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,432 |
1,311 |
$320K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
6,345 |
4,870 |
$316K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
7,825 |
7,277 |
$283K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,787 |
5,253 |
$190K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,701 |
1,556 |
$176K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,151 |
1,030 |
$105K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,001 |
910 |
$93K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
947 |
855 |
$71K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
2,249 |
2,138 |
$33K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
96 |
90 |
$10K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
62 |
46 |
$6K |