| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,054 |
5,025 |
$934K |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,801 |
6,746 |
$480K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,707 |
6,655 |
$332K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
763 |
751 |
$222K |
| A4927 |
Gloves, non-sterile, per 100 |
6,252 |
6,207 |
$95K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
547 |
536 |
$81K |
| A4930 |
Gloves, sterile, per pair |
198 |
198 |
$8K |