| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
4,683 |
4,595 |
$306K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,257 |
6,118 |
$298K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,158 |
2,125 |
$248K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,067 |
2,043 |
$217K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
870 |
843 |
$132K |
| A4927 |
Gloves, non-sterile, per 100 |
4,089 |
4,022 |
$52K |
| A4670 |
Automatic blood pressure monitor |
26 |
24 |
$2K |