| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
3,444 |
3,418 |
$1.41M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
10,243 |
10,176 |
$416K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,102 |
2,091 |
$352K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
700 |
695 |
$237K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,224 |
1,212 |
$234K |
| A4927 |
Gloves, non-sterile, per 100 |
8,890 |
8,479 |
$162K |
| T4541 |
Incontinence product, disposable underpad, large, each |
10,199 |
10,133 |
$161K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
783 |
782 |
$121K |
| A4335 |
Incontinence supply; miscellaneous |
3,470 |
3,093 |
$44K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
263 |
262 |
$41K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
178 |
178 |
$28K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
24 |
24 |
$5K |