| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,449 |
3,448 |
$211K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,461 |
1,459 |
$148K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,196 |
1,190 |
$144K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,381 |
2,378 |
$120K |
| A4927 |
Gloves, non-sterile, per 100 |
7,273 |
7,256 |
$118K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,298 |
1,292 |
$80K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
2,710 |
2,708 |
$34K |
| A4335 |
Incontinence supply; miscellaneous |
162 |
161 |
$6K |