| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,626 |
1,605 |
$427K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,330 |
1,310 |
$320K |
| A4554 |
Disposable underpads, all sizes |
3,154 |
3,109 |
$120K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
282 |
280 |
$46K |
| A4335 |
Incontinence supply; miscellaneous |
3,452 |
3,395 |
$19K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,641 |
2,598 |
$12K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
197 |
193 |
$4K |