| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
882 |
880 |
$197K |
| A4554 |
Disposable underpads, all sizes |
3,287 |
3,274 |
$189K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
493 |
493 |
$145K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
722 |
714 |
$94K |
| A4335 |
Incontinence supply; miscellaneous |
2,095 |
2,084 |
$10K |
| A4245 |
Alcohol wipes, per box |
1,005 |
1,005 |
$8K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
75 |
75 |
$4K |