| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,175 |
1,161 |
$60K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
410 |
409 |
$52K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,032 |
1,030 |
$39K |
| A4927 |
Gloves, non-sterile, per 100 |
836 |
828 |
$17K |
| A4670 |
Automatic blood pressure monitor |
218 |
217 |
$13K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
559 |
556 |
$9K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
63 |
62 |
$7K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
27 |
27 |
$3K |