| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,724 |
1,699 |
$584K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,168 |
2,155 |
$426K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
571 |
563 |
$117K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
439 |
438 |
$82K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,032 |
3,005 |
$64K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
905 |
901 |
$36K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
234 |
232 |
$21K |
| A4927 |
Gloves, non-sterile, per 100 |
330 |
326 |
$2K |