| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
395 |
375 |
$50K |
| A5120 |
Skin barrier, wipes or swabs, each |
636 |
592 |
$28K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
488 |
460 |
$20K |
| T4541 |
Incontinence product, disposable underpad, large, each |
551 |
524 |
$20K |
| A4927 |
Gloves, non-sterile, per 100 |
634 |
604 |
$17K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
161 |
160 |
$17K |
| A4553 |
Non-disposable underpads, all sizes |
221 |
206 |
$3K |