| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
14,721 |
14,593 |
$586K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,351 |
3,322 |
$481K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,470 |
1,461 |
$267K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,591 |
1,570 |
$227K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,757 |
1,736 |
$208K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,732 |
1,718 |
$205K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,144 |
4,101 |
$190K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
724 |
713 |
$75K |
| A4335 |
Incontinence supply; miscellaneous |
14,851 |
14,712 |
$73K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
544 |
542 |
$59K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
53 |
52 |
$5K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
50 |
50 |
$5K |