| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,226 |
6,152 |
$642K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
8,332 |
8,201 |
$379K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,325 |
2,291 |
$343K |
| A4927 |
Gloves, non-sterile, per 100 |
8,821 |
8,704 |
$101K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
605 |
595 |
$24K |