| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,225 |
3,034 |
$344K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,644 |
2,592 |
$288K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,764 |
1,707 |
$173K |
| T4541 |
Incontinence product, disposable underpad, large, each |
9,431 |
9,205 |
$165K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,193 |
1,175 |
$142K |
| A4927 |
Gloves, non-sterile, per 100 |
9,261 |
9,050 |
$126K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,339 |
1,253 |
$119K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
737 |
721 |
$88K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
614 |
607 |
$64K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
870 |
847 |
$43K |
| A9270 |
Non-covered item or service |
2,661 |
2,601 |
$36K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
294 |
287 |
$31K |
| A4335 |
Incontinence supply; miscellaneous |
92 |
89 |
$1K |