| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
4,077 |
4,059 |
$223K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,328 |
1,307 |
$147K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,131 |
2,052 |
$145K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
736 |
734 |
$109K |
| A4927 |
Gloves, non-sterile, per 100 |
3,537 |
3,523 |
$108K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
792 |
770 |
$102K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,011 |
1,003 |
$96K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
4,678 |
4,669 |
$70K |
| A4335 |
Incontinence supply; miscellaneous |
4,814 |
4,805 |
$61K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,000 |
998 |
$27K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
124 |
123 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
122 |
121 |
$7K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
83 |
83 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
92 |
92 |
$6K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
98 |
98 |
$5K |