| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,024 |
3,023 |
$417K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,333 |
3,331 |
$222K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,830 |
3,828 |
$178K |
| A4927 |
Gloves, non-sterile, per 100 |
3,318 |
3,314 |
$47K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
199 |
196 |
$14K |
| A5120 |
Skin barrier, wipes or swabs, each |
867 |
866 |
$4K |