| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
3,731 |
3,400 |
$131K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,091 |
1,007 |
$123K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
848 |
794 |
$114K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
890 |
789 |
$103K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
831 |
767 |
$92K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
817 |
688 |
$59K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
321 |
272 |
$13K |
| E0245 |
Tub stool or bench |
27 |
25 |
$2K |
| E0244 |
Raised toilet seat |
12 |
12 |
$536.28 |