| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,414 |
2,412 |
$276K |
| A4554 |
Disposable underpads, all sizes |
6,249 |
6,236 |
$226K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,710 |
4,607 |
$196K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,477 |
1,476 |
$165K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
527 |
527 |
$83K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,449 |
5,444 |
$27K |
| A4335 |
Incontinence supply; miscellaneous |
3,866 |
3,841 |
$21K |