| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,579 |
13,235 |
$894K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,343 |
5,183 |
$402K |
| A4927 |
Gloves, non-sterile, per 100 |
20,771 |
20,351 |
$326K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,126 |
4,007 |
$268K |
| T4541 |
Incontinence product, disposable underpad, large, each |
13,085 |
12,832 |
$212K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,139 |
2,094 |
$179K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
854 |
832 |
$71K |
| A4670 |
Automatic blood pressure monitor |
15 |
15 |
$522.09 |