| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
31,832 |
31,825 |
$1.89M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
27,526 |
27,525 |
$1.50M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
23,288 |
23,136 |
$1.34M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,786 |
5,786 |
$393K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
4,354 |
4,353 |
$288K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,874 |
1,874 |
$129K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
3,683 |
3,683 |
$104K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
4,173 |
4,170 |
$47K |
| E0245 |
Tub stool or bench |
980 |
980 |
$44K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
352 |
352 |
$22K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
12 |
12 |
$738.17 |
| K0001 |
Standard wheelchair |
12 |
12 |
$514.68 |