| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,547 |
9,495 |
$1.38M |
| A4554 |
Disposable underpads, all sizes |
25,377 |
25,237 |
$911K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,078 |
7,016 |
$868K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,796 |
3,788 |
$647K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
9,605 |
9,550 |
$394K |
| A4335 |
Incontinence supply; miscellaneous |
25,743 |
25,594 |
$138K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
421 |
420 |
$89K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
338 |
338 |
$34K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
131 |
127 |
$13K |
| A4670 |
Automatic blood pressure monitor |
17 |
17 |
$1K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
37 |
37 |
$10.32 |