| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
10,832 |
10,383 |
$576K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,970 |
4,732 |
$518K |
| T4541 |
Incontinence product, disposable underpad, large, each |
10,779 |
10,188 |
$364K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,903 |
2,750 |
$358K |
| A4927 |
Gloves, non-sterile, per 100 |
12,757 |
12,075 |
$150K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,037 |
964 |
$91K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
903 |
645 |
$17K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
498 |
467 |
$7K |