| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,171 |
3,149 |
$670K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,655 |
1,644 |
$493K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,679 |
1,661 |
$272K |
| A4554 |
Disposable underpads, all sizes |
6,860 |
6,798 |
$247K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,266 |
1,255 |
$227K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
154 |
154 |
$23K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
194 |
194 |
$11K |
| A4335 |
Incontinence supply; miscellaneous |
134 |
86 |
$70.47 |