| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,362 |
9,313 |
$1.15M |
| A4554 |
Disposable underpads, all sizes |
24,418 |
24,223 |
$879K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,480 |
6,433 |
$713K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,888 |
3,858 |
$593K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
9,451 |
9,298 |
$261K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,045 |
2,036 |
$205K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,173 |
1,154 |
$144K |
| A4335 |
Incontinence supply; miscellaneous |
25,929 |
25,747 |
$137K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
381 |
212 |
$82K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
531 |
523 |
$59K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,819 |
5,801 |
$32K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
209 |
204 |
$32K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
315 |
313 |
$31K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
61 |
32 |
$8K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
25 |
25 |
$2K |
| A4670 |
Automatic blood pressure monitor |
27 |
25 |
$1K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$985.24 |