| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
845 |
842 |
$30K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
535 |
535 |
$22K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
158 |
157 |
$20K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
190 |
189 |
$20K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
121 |
121 |
$17K |
| A4335 |
Incontinence supply; miscellaneous |
845 |
841 |
$4K |