| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
166 |
166 |
$14K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
84 |
84 |
$9K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
38 |
38 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
118 |
118 |
$4K |
| A4554 |
Disposable underpads, all sizes |
86 |
85 |
$4K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
41 |
41 |
$3K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
14 |
14 |
$559.71 |