| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
912 |
868 |
$87K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,002 |
873 |
$54K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
470 |
447 |
$52K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
526 |
503 |
$46K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
168 |
151 |
$21K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$2K |