| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
3,319 |
3,252 |
$231K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,400 |
1,380 |
$201K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,538 |
2,489 |
$124K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
264 |
255 |
$37K |
| A4927 |
Gloves, non-sterile, per 100 |
1,722 |
1,689 |
$22K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
52 |
51 |
$9K |