| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,168 |
1,085 |
$178K |
| A4554 |
Disposable underpads, all sizes |
2,643 |
2,518 |
$154K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
620 |
586 |
$94K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
551 |
544 |
$80K |
| A4927 |
Gloves, non-sterile, per 100 |
2,600 |
2,483 |
$36K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
88 |
88 |
$21K |
| A4335 |
Incontinence supply; miscellaneous |
2,501 |
2,389 |
$17K |