| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| W0140 |
|
694 |
541 |
$464K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
800 |
783 |
$75K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
534 |
527 |
$57K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
751 |
746 |
$41K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,672 |
1,639 |
$30K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
293 |
292 |
$29K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
174 |
174 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
305 |
305 |
$4K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
14 |
14 |
$4K |