| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
45,490 |
40,488 |
$2.49M |
| T4541 |
Large disposable underpad |
45,376 |
40,466 |
$1.60M |
| T4527 |
Adult size pull-on lg |
16,286 |
14,178 |
$1.35M |
| A4520 |
Incontinence garment anytype |
25,041 |
21,851 |
$1.22M |
| T4526 |
Adult size pull-on med |
13,801 |
12,164 |
$1.07M |
| T4528 |
Adult size pull-on xl |
9,343 |
8,219 |
$921K |
| T4534 |
Youth size pull-on |
5,968 |
5,579 |
$608K |
| T4543 |
Adult disp brief/diap abv xl |
2,826 |
2,476 |
$443K |
| T4525 |
Adult size pull-on sm |
4,029 |
3,684 |
$331K |
| A4554 |
Disposable underpads |
14,616 |
13,840 |
$196K |
| T4530 |
Ped size brief/diaper lg |
1,312 |
1,212 |
$115K |
| T4522 |
Adult size brief/diaper med |
986 |
928 |
$99K |
| B4150 |
Ef complet w/intact nutrient |
820 |
663 |
$73K |
| A4351 |
Straight tip urine catheter |
713 |
609 |
$68K |
| T4523 |
Adult size brief/diaper lg |
544 |
451 |
$43K |
| T4537 |
Reusable underpad bed size |
69 |
67 |
$4K |
| T4532 |
Ped size pull-on lg |
24 |
24 |
$3K |
| T4524 |
Adult size brief/diaper xl |
27 |
24 |
$3K |
| T4521 |
Adult size brief/diaper sm |
16 |
12 |
$1K |