| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
4,784 |
4,586 |
$319K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,958 |
1,892 |
$271K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,242 |
4,058 |
$200K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,088 |
1,053 |
$196K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
924 |
859 |
$115K |
| A4927 |
Gloves, non-sterile, per 100 |
3,982 |
3,863 |
$59K |