| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
14,123 |
14,063 |
$784K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
5,461 |
5,159 |
$501K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,744 |
6,734 |
$318K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,473 |
2,393 |
$207K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,911 |
3,898 |
$160K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,898 |
2,898 |
$142K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,529 |
1,528 |
$98K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,378 |
1,374 |
$86K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,967 |
1,967 |
$53K |
| A4927 |
Gloves, non-sterile, per 100 |
2,608 |
2,608 |
$52K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
92 |
92 |
$896.24 |