| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,779 |
1,723 |
$330K |
| A4554 |
Disposable underpads, all sizes |
911 |
866 |
$324K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,372 |
1,347 |
$247K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
941 |
916 |
$157K |
| A4927 |
Gloves, non-sterile, per 100 |
1,892 |
1,712 |
$95K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
469 |
467 |
$61K |
| T4541 |
Incontinence product, disposable underpad, large, each |
532 |
521 |
$49K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
25 |
25 |
$5K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
25 |
24 |
$5K |