| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,067 |
2,937 |
$333K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,289 |
2,163 |
$220K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,453 |
3,152 |
$198K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,635 |
1,545 |
$168K |
| A4927 |
Gloves, non-sterile, per 100 |
9,226 |
8,865 |
$165K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,080 |
3,901 |
$91K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
463 |
442 |
$45K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
155 |
146 |
$18K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
163 |
140 |
$10K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
26 |
24 |
$2K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
14 |
12 |
$2K |