| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,376 |
1,349 |
$129K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,346 |
2,305 |
$120K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
860 |
848 |
$75K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
981 |
974 |
$11K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
189 |
189 |
$9K |
| A4927 |
Gloves, non-sterile, per 100 |
1,455 |
1,421 |
$7K |