| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
5,028 |
4,984 |
$187K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,257 |
1,255 |
$156K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
671 |
667 |
$130K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,835 |
2,518 |
$105K |
| A4335 |
Incontinence supply; miscellaneous |
5,272 |
5,142 |
$29K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
157 |
157 |
$19K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
12 |
12 |
$3K |