| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
747 |
691 |
$66K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
366 |
338 |
$45K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
375 |
358 |
$21K |
| T4541 |
Incontinence product, disposable underpad, large, each |
506 |
499 |
$17K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
171 |
163 |
$14K |
| A4927 |
Gloves, non-sterile, per 100 |
13 |
13 |
$232.00 |