| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
18,193 |
17,808 |
$1.70M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
41,487 |
40,914 |
$1.56M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
11,351 |
11,264 |
$1.31M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
14,624 |
14,454 |
$1.11M |
| A4554 |
Disposable underpads, all sizes |
43,020 |
42,546 |
$1.05M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
3,016 |
2,986 |
$441K |
| A4335 |
Incontinence supply; miscellaneous |
38,584 |
38,448 |
$189K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,688 |
1,655 |
$162K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,201 |
2,186 |
$144K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
442 |
442 |
$38K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
403 |
402 |
$35K |
| A4927 |
Gloves, non-sterile, per 100 |
3,376 |
3,155 |
$15K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
105 |
100 |
$9K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
27 |
25 |
$2K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
12 |
12 |
$1K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
2,387 |
2,382 |
$0.04 |