| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
541 |
467 |
$13K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
53 |
50 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
44 |
41 |
$3K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
37 |
36 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
27 |
25 |
$2K |