| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,686 |
1,656 |
$219K |
| A4554 |
Disposable underpads, all sizes |
4,771 |
4,721 |
$158K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,090 |
1,079 |
$156K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
966 |
951 |
$34K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
188 |
184 |
$32K |
| A4335 |
Incontinence supply; miscellaneous |
4,917 |
4,838 |
$22K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
27 |
25 |
$18K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
55 |
51 |
$13K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
37 |
37 |
$5K |