| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
477 |
472 |
$15K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
496 |
491 |
$13K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
195 |
194 |
$8K |
| A4554 |
Disposable underpads, all sizes |
242 |
240 |
$4K |
| A4927 |
Gloves, non-sterile, per 100 |
908 |
883 |
$4K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
108 |
96 |
$3K |
| A4335 |
Incontinence supply; miscellaneous |
813 |
813 |
$2K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
64 |
60 |
$1K |