| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,208 |
1,148 |
$41K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
371 |
357 |
$29K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
340 |
333 |
$28K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
119 |
115 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
331 |
320 |
$9K |
| A4456 |
Adhesive remover, wipes, any type, each |
451 |
436 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$894.70 |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
13 |
13 |
$625.60 |