| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,070 |
1,045 |
$94K |
| A4554 |
Disposable underpads, all sizes |
1,891 |
1,829 |
$90K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
802 |
794 |
$65K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,866 |
1,806 |
$50K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,100 |
1,067 |
$33K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
908 |
880 |
$22K |
| A4927 |
Gloves, non-sterile, per 100 |
1,588 |
1,535 |
$6K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$813.85 |