| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,344 |
1,255 |
$446K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
43,364 |
39,043 |
$404K |
| A4335 |
Incontinence supply; miscellaneous |
4,396 |
4,010 |
$227K |
| A4927 |
Gloves, non-sterile, per 100 |
6,961 |
6,281 |
$204K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,413 |
1,310 |
$170K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,440 |
3,168 |
$157K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
534 |
499 |
$87K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,587 |
1,461 |
$80K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
168 |
156 |
$18K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
102 |
87 |
$8K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
16 |
13 |
$2K |