| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
824 |
816 |
$78K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,409 |
1,392 |
$64K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,328 |
1,312 |
$57K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
410 |
400 |
$38K |
| A4927 |
Gloves, non-sterile, per 100 |
844 |
820 |
$11K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
77 |
76 |
$9K |
| A5120 |
Skin barrier, wipes or swabs, each |
15 |
15 |
$113.62 |