| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
735 |
715 |
$53K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
154 |
151 |
$22K |
| T4529 |
Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
183 |
182 |
$19K |
| T4541 |
Incontinence product, disposable underpad, large, each |
793 |
775 |
$18K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
358 |
350 |
$14K |
| W0137 |
|
154 |
144 |
$12K |
| A4927 |
Gloves, non-sterile, per 100 |
801 |
759 |
$11K |
| A4335 |
Incontinence supply; miscellaneous |
240 |
233 |
$7K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
41 |
41 |
$5K |