| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,475 |
5,353 |
$385K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,578 |
3,527 |
$341K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,913 |
3,850 |
$340K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,430 |
3,394 |
$329K |
| A4554 |
Disposable underpads, all sizes |
8,059 |
7,950 |
$309K |
| A4927 |
Gloves, non-sterile, per 100 |
8,385 |
8,274 |
$180K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
708 |
683 |
$83K |