| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
137 |
137 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
52 |
52 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
19 |
19 |
$3K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
22 |
22 |
$2K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
28 |
28 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
14 |
14 |
$1K |