| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,648 |
2,627 |
$182K |
| A4927 |
Gloves, non-sterile, per 100 |
4,635 |
4,545 |
$73K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
953 |
947 |
$70K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
736 |
732 |
$49K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,701 |
2,663 |
$42K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
363 |
362 |
$31K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
176 |
175 |
$14K |