| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
53,411 |
52,396 |
$10.49M |
| T4541 |
Incontinence product, disposable underpad, large, each |
87,493 |
87,288 |
$9.89M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
48,845 |
48,697 |
$4.07M |
| A4335 |
Incontinence supply; miscellaneous |
58,091 |
58,037 |
$3.59M |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
28,075 |
27,762 |
$2.78M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
42,789 |
42,755 |
$2.63M |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
20,991 |
20,704 |
$2.43M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
15,786 |
15,640 |
$2.09M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
14,883 |
14,703 |
$2.04M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,791 |
11,648 |
$1.76M |
| S5199 |
Personal care item, nos, each |
28,330 |
28,314 |
$1.75M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
9,164 |
9,067 |
$1.29M |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
15,505 |
15,415 |
$1.18M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
6,466 |
6,385 |
$922K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,075 |
5,013 |
$883K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
10,163 |
10,161 |
$543K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,226 |
3,193 |
$498K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,199 |
1,182 |
$315K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
585 |
583 |
$148K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
540 |
526 |
$64K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
52 |
52 |
$7K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
25 |
25 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
51 |
50 |
$879.78 |