| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
509 |
509 |
$45K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
408 |
408 |
$25K |
| A4554 |
Disposable underpads, all sizes |
655 |
655 |
$24K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
554 |
554 |
$18K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
433 |
433 |
$6K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
100 |
100 |
$2K |