| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
3,809 |
3,715 |
$260K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,487 |
1,437 |
$209K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
777 |
767 |
$92K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,004 |
1,912 |
$74K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,439 |
1,391 |
$39K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
317 |
309 |
$31K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
787 |
768 |
$25K |
| A4927 |
Gloves, non-sterile, per 100 |
2,792 |
2,709 |
$11K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
519 |
474 |
$7K |