| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,669 |
3,614 |
$845K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,271 |
4,196 |
$686K |
| A4554 |
Disposable underpads, all sizes |
15,134 |
14,731 |
$546K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,361 |
3,276 |
$429K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,132 |
3,105 |
$139K |
| A4335 |
Incontinence supply; miscellaneous |
15,161 |
14,771 |
$80K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
224 |
223 |
$30K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
235 |
208 |
$18K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
37 |
36 |
$6K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
24 |
24 |
$2K |