| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
276 |
273 |
$33K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
173 |
171 |
$19K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
131 |
131 |
$16K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
53 |
52 |
$7K |
| T4541 |
Incontinence product, disposable underpad, large, each |
172 |
168 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$2K |