| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
8,105 |
8,078 |
$273K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,470 |
6,443 |
$256K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,849 |
1,842 |
$204K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,208 |
2,205 |
$195K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
994 |
983 |
$120K |
| A4335 |
Incontinence supply; miscellaneous |
9,617 |
9,584 |
$52K |
| A4927 |
Gloves, non-sterile, per 100 |
428 |
426 |
$3K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
25 |
25 |
$2K |