| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,577 |
2,983 |
$288K |
| A4335 |
Incontinence supply; miscellaneous |
6,608 |
5,606 |
$270K |
| S9977 |
Meals, per diem, not otherwise specified |
1,721 |
1,641 |
$257K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,962 |
1,661 |
$215K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,520 |
1,301 |
$199K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,392 |
1,224 |
$155K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,492 |
1,286 |
$154K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,664 |
2,226 |
$91K |
| T5999 |
Supply, not otherwise specified |
436 |
355 |
$44K |
| A4927 |
Gloves, non-sterile, per 100 |
1,515 |
1,333 |
$27K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
120 |
91 |
$10K |