| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
8,344 |
8,040 |
$265K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,659 |
2,593 |
$138K |
| X1939 |
|
2,338 |
2,320 |
$137K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,739 |
1,721 |
$118K |
| T5999 |
Supply, not otherwise specified |
13,690 |
13,244 |
$100K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,020 |
1,998 |
$93K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
686 |
634 |
$77K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,633 |
2,576 |
$75K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
481 |
470 |
$62K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
246 |
241 |
$14K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
60 |
60 |
$6K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
36 |
36 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
42 |
42 |
$3K |