| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
999 |
985 |
$127K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
732 |
725 |
$89K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
404 |
403 |
$42K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
190 |
186 |
$30K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
782 |
775 |
$28K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
151 |
147 |
$26K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
179 |
178 |
$23K |