| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,230 |
3,046 |
$209K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,203 |
3,012 |
$190K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,249 |
3,088 |
$189K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
4,742 |
4,466 |
$186K |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,805 |
6,448 |
$137K |
| A4927 |
Gloves, non-sterile, per 100 |
8,950 |
8,438 |
$135K |
| W0137 |
|
5,313 |
4,778 |
$130K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
965 |
892 |
$125K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,495 |
1,381 |
$83K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
747 |
696 |
$48K |
| A4335 |
Incontinence supply; miscellaneous |
550 |
452 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
48 |
46 |
$4.62 |