| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
712 |
707 |
$66K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
672 |
668 |
$53K |
| A4554 |
Disposable underpads, all sizes |
798 |
793 |
$43K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,095 |
1,087 |
$41K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
347 |
343 |
$7K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
27 |
26 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$1K |