| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
2,205 |
2,083 |
$73K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,047 |
961 |
$53K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
723 |
669 |
$53K |
| X1939 |
|
881 |
831 |
$44K |
| T5999 |
Supply, not otherwise specified |
5,277 |
4,864 |
$42K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,101 |
1,027 |
$32K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
403 |
365 |
$21K |