| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,604 |
1,589 |
$223K |
| A4554 |
Disposable underpads, all sizes |
5,330 |
5,262 |
$194K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,375 |
1,357 |
$157K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,129 |
2,101 |
$77K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
309 |
305 |
$51K |
| A4335 |
Incontinence supply; miscellaneous |
5,673 |
5,603 |
$31K |