| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
685 |
651 |
$78K |
| T4541 |
Incontinence product, disposable underpad, large, each |
870 |
823 |
$50K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
457 |
430 |
$42K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
224 |
217 |
$17K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
116 |
107 |
$14K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
29 |
28 |
$3K |