| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,317 |
5,071 |
$463K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,192 |
3,942 |
$333K |
| S5165 |
Home modifications; per service |
92 |
58 |
$301K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,197 |
1,152 |
$298K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,761 |
2,613 |
$263K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,132 |
5,780 |
$227K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,673 |
4,465 |
$170K |
| A4927 |
Gloves, non-sterile, per 100 |
9,830 |
9,469 |
$153K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
785 |
748 |
$81K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
462 |
440 |
$44K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
645 |
613 |
$33K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
87 |
75 |
$8K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
38 |
37 |
$3K |