| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,058 |
2,522 |
$182K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,549 |
1,319 |
$146K |
| E1399 |
Durable medical equipment, miscellaneous |
1,914 |
1,563 |
$145K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,583 |
1,353 |
$128K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,303 |
1,147 |
$97K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,316 |
2,194 |
$92K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
1,243 |
1,039 |
$57K |
| A4927 |
Gloves, non-sterile, per 100 |
1,589 |
1,480 |
$55K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
76 |
66 |
$7K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
33 |
29 |
$4K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
31 |
26 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
16 |
12 |
$2K |