| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,640 |
1,598 |
$175K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,532 |
1,488 |
$143K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
945 |
922 |
$111K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,039 |
4,894 |
$80K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
599 |
589 |
$63K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
506 |
502 |
$56K |
| A4927 |
Gloves, non-sterile, per 100 |
4,558 |
4,425 |
$53K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
283 |
282 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
93 |
87 |
$6K |
| A9270 |
Non-covered item or service |
435 |
418 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
24 |
24 |
$2K |