| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
386 |
298 |
$34K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
288 |
210 |
$23K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
263 |
188 |
$21K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
112 |
92 |
$14K |
| A4927 |
Gloves, non-sterile, per 100 |
1,229 |
855 |
$0.00 |
| A4554 |
Disposable underpads, all sizes |
670 |
508 |
$0.00 |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
19 |
12 |
$0.00 |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
110 |
100 |
$0.00 |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
56 |
27 |
$0.00 |