| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
755 |
712 |
$49K |
| A4927 |
Gloves, non-sterile, per 100 |
850 |
796 |
$29K |
| T4541 |
Incontinence product, disposable underpad, large, each |
418 |
398 |
$23K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
74 |
71 |
$17K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
67 |
63 |
$10K |
| A4553 |
Non-disposable underpads, all sizes |
666 |
633 |
$10K |
| A4554 |
Disposable underpads, all sizes |
214 |
206 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
51 |
49 |
$8K |
| A5120 |
Skin barrier, wipes or swabs, each |
104 |
98 |
$2K |