| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
4,848 |
4,772 |
$759K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
8,594 |
8,410 |
$402K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,377 |
3,262 |
$348K |
| A4927 |
Gloves, non-sterile, per 100 |
9,108 |
8,908 |
$160K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
535 |
527 |
$69K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
393 |
383 |
$13K |