| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
823 |
799 |
$49K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
436 |
421 |
$46K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
332 |
324 |
$34K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
386 |
381 |
$33K |
| T4541 |
Incontinence product, disposable underpad, large, each |
183 |
182 |
$12K |
| A4554 |
Disposable underpads, all sizes |
254 |
249 |
$12K |
| A4927 |
Gloves, non-sterile, per 100 |
695 |
693 |
$10K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
13 |
13 |
$1K |