| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
12,171 |
12,088 |
$797K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,822 |
6,781 |
$794K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,138 |
13,049 |
$650K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,459 |
3,430 |
$378K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,430 |
1,424 |
$229K |
| A4927 |
Gloves, non-sterile, per 100 |
6,235 |
6,190 |
$88K |