| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
602 |
582 |
$21K |
| T4541 |
Incontinence product, disposable underpad, large, each |
659 |
637 |
$15K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
401 |
376 |
$14K |
| A4927 |
Gloves, non-sterile, per 100 |
374 |
353 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
25 |
25 |
$3K |
| A5120 |
Skin barrier, wipes or swabs, each |
54 |
51 |
$446.00 |