| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
2,718 |
2,608 |
$132K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,218 |
1,195 |
$98K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
869 |
869 |
$81K |
| A4554 |
Disposable underpads, all sizes |
751 |
751 |
$37K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
350 |
350 |
$33K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
339 |
329 |
$30K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
224 |
224 |
$21K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
151 |
151 |
$14K |
| E0570 |
Nebulizer, with compressor |
207 |
207 |
$8K |