| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
933 |
928 |
$79K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
918 |
908 |
$22K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
507 |
481 |
$15K |
| T4541 |
Incontinence product, disposable underpad, large, each |
570 |
559 |
$15K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
118 |
112 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
829 |
812 |
$9K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
93 |
92 |
$6K |