| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
573 |
187 |
$51K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
231 |
217 |
$16K |
| E1399 |
Durable medical equipment, miscellaneous |
142 |
90 |
$13K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
37 |
37 |
$6K |
| T4541 |
Incontinence product, disposable underpad, large, each |
82 |
80 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
50 |
49 |
$3K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
13 |
13 |
$2K |