| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,835 |
1,712 |
$173K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,683 |
1,567 |
$149K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,146 |
2,076 |
$97K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,131 |
3,819 |
$68K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
371 |
322 |
$66K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
526 |
475 |
$59K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,604 |
1,500 |
$32K |
| A4927 |
Gloves, non-sterile, per 100 |
3,159 |
2,758 |
$30K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
52 |
48 |
$6K |
| W0137 |
|
160 |
108 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
29 |
25 |
$2K |