| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,574 |
1,524 |
$238K |
| A4554 |
Disposable underpads, all sizes |
5,210 |
5,039 |
$175K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
991 |
950 |
$147K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
406 |
393 |
$80K |
| A4335 |
Incontinence supply; miscellaneous |
5,206 |
5,033 |
$26K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
337 |
328 |
$12K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
26 |
25 |
$3K |