| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
5,764 |
5,759 |
$304K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,352 |
2,347 |
$160K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,545 |
2,544 |
$145K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,641 |
2,624 |
$116K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,465 |
1,465 |
$95K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
698 |
698 |
$46K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
194 |
194 |
$3K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
69 |
69 |
$766.70 |