| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,985 |
2,978 |
$405K |
| A4554 |
Disposable underpads, all sizes |
7,498 |
7,490 |
$290K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,120 |
2,110 |
$250K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,004 |
1,001 |
$159K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,293 |
2,292 |
$72K |
| A4335 |
Incontinence supply; miscellaneous |
7,971 |
7,955 |
$44K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
904 |
901 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$2K |