| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
491 |
491 |
$11K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
216 |
215 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
331 |
329 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
81 |
81 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
184 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
362 |
359 |
$2K |