| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,105 |
6,055 |
$705K |
| A4554 |
Disposable underpads, all sizes |
15,576 |
15,460 |
$583K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,688 |
4,674 |
$442K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,240 |
11,042 |
$418K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,878 |
1,864 |
$236K |
| A4335 |
Incontinence supply; miscellaneous |
19,512 |
19,288 |
$110K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
763 |
756 |
$74K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
99 |
98 |
$12K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
202 |
200 |
$1K |