| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
6,666 |
6,532 |
$438K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,498 |
2,434 |
$431K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
7,316 |
7,165 |
$336K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,023 |
1,983 |
$278K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,767 |
1,741 |
$243K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
610 |
599 |
$173K |
| A4927 |
Gloves, non-sterile, per 100 |
4,230 |
4,180 |
$61K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,484 |
2,383 |
$17K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
24 |
24 |
$3K |