| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,016 |
1,015 |
$110K |
| A4554 |
Disposable underpads, all sizes |
2,638 |
2,638 |
$104K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,288 |
2,288 |
$93K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
455 |
455 |
$67K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
500 |
500 |
$45K |
| A4335 |
Incontinence supply; miscellaneous |
3,269 |
3,269 |
$19K |
| A4670 |
Automatic blood pressure monitor |
15 |
15 |
$934.50 |