| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,546 |
1,537 |
$98K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,005 |
976 |
$50K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
392 |
385 |
$24K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
132 |
131 |
$10K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
218 |
199 |
$2K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
13 |
13 |
$1K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$982.64 |
| K0019 |
Arm pad, replacement only, each |
17 |
12 |
$67.46 |