| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,441 |
1,434 |
$60K |
| A4554 |
Disposable underpads, all sizes |
1,256 |
1,253 |
$45K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
367 |
366 |
$30K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
169 |
168 |
$13K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
189 |
186 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
1,001 |
999 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
41 |
40 |
$2K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
66 |
66 |
$2K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
26 |
26 |
$2K |