| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
950 |
853 |
$71K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,930 |
1,765 |
$62K |
| A4927 |
Gloves, non-sterile, per 100 |
2,928 |
2,718 |
$40K |
| T4541 |
Incontinence product, disposable underpad, large, each |
543 |
479 |
$23K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
537 |
478 |
$22K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,343 |
1,336 |
$15K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13 |
12 |
$904.91 |
| A4335 |
Incontinence supply; miscellaneous |
41 |
35 |
$91.44 |