| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
6,720 |
6,287 |
$464K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
4,206 |
3,932 |
$387K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,130 |
2,935 |
$344K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,719 |
1,620 |
$229K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
5,421 |
5,082 |
$189K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,117 |
3,795 |
$102K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,148 |
1,073 |
$93K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
3,654 |
3,417 |
$69K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
999 |
927 |
$32K |
| A4927 |
Gloves, non-sterile, per 100 |
3,083 |
2,924 |
$14K |