| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,705 |
2,556 |
$472K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,368 |
2,222 |
$329K |
| A4554 |
Disposable underpads, all sizes |
9,114 |
8,928 |
$327K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,480 |
1,443 |
$179K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
569 |
540 |
$54K |
| A4335 |
Incontinence supply; miscellaneous |
6,815 |
6,675 |
$36K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,160 |
1,148 |
$31K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
84 |
81 |
$10K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
91 |
86 |
$8K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,413 |
1,355 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
45 |
38 |
$4K |
| A4927 |
Gloves, non-sterile, per 100 |
542 |
505 |
$3K |