| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,672 |
4,340 |
$305K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,933 |
4,616 |
$275K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,374 |
2,218 |
$255K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,357 |
2,109 |
$253K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
573 |
538 |
$67K |
| A4927 |
Gloves, non-sterile, per 100 |
1,932 |
1,836 |
$22K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
227 |
222 |
$22K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
111 |
100 |
$8K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
64 |
58 |
$6K |
| E0570 |
Nebulizer, with compressor |
69 |
67 |
$4K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
14 |
14 |
$2K |