| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,395 |
4,172 |
$128K |
| A4554 |
Disposable underpads, all sizes |
4,162 |
3,955 |
$93K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,031 |
973 |
$66K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
965 |
910 |
$48K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
59 |
55 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
12 |
12 |
$91.00 |