| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,317 |
2,164 |
$129K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,710 |
1,600 |
$83K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
863 |
789 |
$77K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
937 |
874 |
$72K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
423 |
399 |
$50K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
115 |
110 |
$22K |
| A4927 |
Gloves, non-sterile, per 100 |
81 |
80 |
$1K |