| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,788 |
1,771 |
$139K |
| A4554 |
Disposable underpads, all sizes |
1,451 |
1,435 |
$53K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,282 |
1,278 |
$41K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,073 |
1,065 |
$41K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
1,211 |
1,201 |
$38K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
641 |
637 |
$31K |
| A4927 |
Gloves, non-sterile, per 100 |
686 |
684 |
$4K |
| A4335 |
Incontinence supply; miscellaneous |
12 |
12 |
$52.50 |