| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5120 |
Skin barrier, wipes or swabs, each |
2,865 |
2,769 |
$116K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,563 |
1,523 |
$96K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
628 |
618 |
$87K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,103 |
1,055 |
$53K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
345 |
339 |
$46K |
| A4927 |
Gloves, non-sterile, per 100 |
2,694 |
2,608 |
$37K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
714 |
692 |
$34K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
26 |
25 |
$4K |
| A4553 |
Non-disposable underpads, all sizes |
26 |
26 |
$405.08 |