| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
230 |
172 |
$11K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
259 |
185 |
$10K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
144 |
116 |
$7K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
95 |
80 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
76 |
55 |
$3K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
62 |
49 |
$3K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
18 |
12 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
56 |
37 |
$778.87 |