| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,182 |
1,177 |
$131K |
| A4554 |
Disposable underpads, all sizes |
2,585 |
2,577 |
$97K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
823 |
823 |
$82K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
433 |
432 |
$63K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,143 |
1,141 |
$24K |
| A4335 |
Incontinence supply; miscellaneous |
2,863 |
2,846 |
$16K |