| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
139 |
117 |
$26K |
| T4541 |
Incontinence product, disposable underpad, large, each |
300 |
268 |
$19K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
83 |
78 |
$15K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
100 |
84 |
$13K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
49 |
43 |
$10K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
34 |
32 |
$6K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
76 |
64 |
$5K |