| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,178 |
1,165 |
$202K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,169 |
1,164 |
$179K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
411 |
406 |
$77K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,457 |
2,439 |
$40K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
286 |
283 |
$20K |
| A4335 |
Incontinence supply; miscellaneous |
1,082 |
1,074 |
$13K |
| A4927 |
Gloves, non-sterile, per 100 |
618 |
608 |
$9K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$3K |