| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,909 |
8,892 |
$1.55M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,944 |
4,940 |
$1.09M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,477 |
6,477 |
$962K |
| A4554 |
Disposable underpads, all sizes |
23,201 |
23,182 |
$893K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
2,241 |
2,237 |
$688K |
| A4335 |
Incontinence supply; miscellaneous |
23,400 |
23,383 |
$132K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
18,143 |
18,134 |
$93K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
1,753 |
1,740 |
$8K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
192 |
192 |
$2K |