| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,073 |
4,546 |
$482K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,934 |
1,735 |
$234K |
| A4927 |
Gloves, non-sterile, per 100 |
6,340 |
5,760 |
$202K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
4,452 |
4,080 |
$181K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
3,902 |
2,911 |
$148K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,293 |
1,164 |
$143K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
978 |
886 |
$131K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,362 |
2,151 |
$91K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
230 |
203 |
$44K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
321 |
304 |
$30K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
193 |
174 |
$19K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
42 |
41 |
$1K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
13 |
12 |
$1K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
17 |
12 |
$957.00 |