| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
898 |
886 |
$162K |
| A4554 |
Disposable underpads, all sizes |
2,775 |
2,744 |
$93K |
| T5999 |
Supply, not otherwise specified |
5,042 |
4,999 |
$59K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
675 |
669 |
$36K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
863 |
856 |
$26K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
368 |
365 |
$20K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
181 |
180 |
$14K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
26 |
26 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
50 |
49 |
$4K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
14 |
14 |
$3K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
13 |
13 |
$2K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
13 |
13 |
$1K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
14 |
14 |
$1K |