| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,940 |
1,883 |
$224K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,962 |
3,859 |
$212K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,629 |
1,602 |
$149K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,682 |
2,590 |
$94K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
771 |
763 |
$74K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
49 |
48 |
$8K |
| E1399 |
Durable medical equipment, miscellaneous |
37 |
37 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
94 |
92 |
$1K |