| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,490 |
2,486 |
$371K |
| A4554 |
Disposable underpads, all sizes |
8,177 |
8,148 |
$289K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,135 |
2,130 |
$259K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,649 |
4,625 |
$159K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
598 |
592 |
$90K |
| A4335 |
Incontinence supply; miscellaneous |
8,937 |
8,843 |
$48K |