| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,147 |
1,462 |
$98K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,100 |
833 |
$65K |
| A4927 |
Gloves, non-sterile, per 100 |
3,954 |
2,920 |
$54K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,784 |
1,530 |
$33K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
436 |
300 |
$20K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
405 |
280 |
$20K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
357 |
250 |
$19K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
132 |
92 |
$3K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
73 |
62 |
$3K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
49 |
29 |
$2K |
| K0001 |
Standard wheelchair |
73 |
68 |
$2K |