| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4542 |
Incontinence product, disposable underpad, small size, each |
3,110 |
3,000 |
$94K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
843 |
814 |
$62K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
401 |
395 |
$31K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
335 |
321 |
$29K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
808 |
797 |
$20K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
229 |
214 |
$19K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
119 |
116 |
$7K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
42 |
41 |
$3K |