| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,126 |
5,050 |
$1.06M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,133 |
5,093 |
$898K |
| A4554 |
Disposable underpads, all sizes |
14,782 |
14,621 |
$532K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,489 |
3,459 |
$501K |
| A4335 |
Incontinence supply; miscellaneous |
14,805 |
14,654 |
$79K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
221 |
218 |
$59K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
498 |
493 |
$9K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$1K |