| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,408 |
5,158 |
$249K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,657 |
2,568 |
$225K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,618 |
4,420 |
$151K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,167 |
1,130 |
$116K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,241 |
1,195 |
$103K |
| A4927 |
Gloves, non-sterile, per 100 |
5,556 |
5,273 |
$81K |
| A4670 |
Automatic blood pressure monitor |
14 |
13 |
$887.29 |