| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
911 |
908 |
$75K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
478 |
464 |
$59K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
259 |
258 |
$42K |
| A4927 |
Gloves, non-sterile, per 100 |
856 |
847 |
$25K |
| E0245 |
Tub stool or bench |
321 |
312 |
$22K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
79 |
79 |
$14K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
78 |
77 |
$2K |
| E0243 |
Toilet rail, each |
29 |
29 |
$2K |