| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,315 |
2,295 |
$354K |
| A4554 |
Disposable underpads, all sizes |
2,901 |
2,867 |
$201K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
2,814 |
2,785 |
$93K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,647 |
1,638 |
$75K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,800 |
1,777 |
$48K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
1,466 |
1,444 |
$20K |
| A4927 |
Gloves, non-sterile, per 100 |
2,623 |
2,599 |
$12K |
| A4670 |
Automatic blood pressure monitor |
43 |
43 |
$2K |