| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
540 |
540 |
$39K |
| A4554 |
Disposable underpads, all sizes |
945 |
945 |
$26K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
791 |
789 |
$22K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
430 |
430 |
$22K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
879 |
878 |
$15K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
474 |
472 |
$12K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
17 |
13 |
$1K |