| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,052 |
1,003 |
$127K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
682 |
488 |
$109K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
943 |
891 |
$86K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
832 |
813 |
$80K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,265 |
1,146 |
$53K |
| A4927 |
Gloves, non-sterile, per 100 |
1,453 |
1,420 |
$33K |
| T4541 |
Incontinence product, disposable underpad, large, each |
802 |
781 |
$30K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
88 |
87 |
$18K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
16 |
14 |
$2K |