| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
83 |
60 |
$8K |
| T4541 |
Incontinence product, disposable underpad, large, each |
154 |
137 |
$7K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
53 |
46 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
60 |
57 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
303 |
235 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
69 |
59 |
$4K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
33 |
30 |
$3K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
31 |
27 |
$3K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
18 |
12 |
$2K |