| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,539 |
13,318 |
$765K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,462 |
5,421 |
$514K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,285 |
4,256 |
$483K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,795 |
4,730 |
$395K |
| T4541 |
Incontinence product, disposable underpad, large, each |
8,147 |
7,762 |
$321K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,613 |
1,521 |
$282K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
894 |
893 |
$172K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,296 |
2,291 |
$92K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
918 |
918 |
$38K |
| A4927 |
Gloves, non-sterile, per 100 |
1,487 |
1,471 |
$25K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
59 |
55 |
$10K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
89 |
87 |
$7K |
| S5165 |
Home modifications; per service |
24 |
24 |
$4K |
| A4335 |
Incontinence supply; miscellaneous |
210 |
205 |
$4K |
| E1399 |
Durable medical equipment, miscellaneous |
50 |
49 |
$3K |