| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
2,510 |
2,490 |
$176K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,475 |
2,457 |
$123K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
639 |
639 |
$94K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
456 |
453 |
$82K |
| A4927 |
Gloves, non-sterile, per 100 |
2,407 |
2,391 |
$37K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
79 |
79 |
$23K |