| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
4,846 |
4,548 |
$691K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
7,849 |
7,364 |
$333K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,023 |
2,851 |
$267K |
| A4927 |
Gloves, non-sterile, per 100 |
8,066 |
7,564 |
$82K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
640 |
615 |
$17K |