| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
21,479 |
20,820 |
$695K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,291 |
5,210 |
$684K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,374 |
6,306 |
$630K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,713 |
16,428 |
$476K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,197 |
5,108 |
$423K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
2,318 |
2,296 |
$413K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,111 |
3,003 |
$252K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,582 |
1,561 |
$144K |
| A4335 |
Incontinence supply; miscellaneous |
26,539 |
26,140 |
$141K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
274 |
267 |
$17K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
64 |
61 |
$6K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
142 |
130 |
$808.34 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
420 |
407 |
$0.00 |
| A9270 |
Non-covered item or service |
241 |
240 |
$0.00 |