| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,956 |
1,954 |
$606K |
| A4554 |
Disposable underpads, all sizes |
4,204 |
4,193 |
$159K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
1,162 |
1,158 |
$145K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
561 |
560 |
$126K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
430 |
429 |
$77K |
| A4335 |
Incontinence supply; miscellaneous |
4,205 |
4,192 |
$23K |
| A4927 |
Gloves, non-sterile, per 100 |
263 |
263 |
$2K |