| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
5,172 |
5,147 |
$241K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,451 |
2,447 |
$112K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,203 |
1,203 |
$62K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
785 |
782 |
$54K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
877 |
873 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
186 |
186 |
$12K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
114 |
114 |
$8K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
121 |
113 |
$8K |
| A4335 |
Incontinence supply; miscellaneous |
812 |
809 |
$5K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
602 |
601 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
237 |
237 |
$1K |