| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,917 |
1,910 |
$250K |
| A4554 |
Disposable underpads, all sizes |
4,665 |
4,644 |
$173K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,027 |
3,017 |
$127K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
664 |
662 |
$75K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
231 |
231 |
$37K |
| A4335 |
Incontinence supply; miscellaneous |
5,694 |
5,655 |
$31K |