| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,670 |
1,657 |
$255K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,574 |
2,531 |
$226K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,482 |
1,401 |
$135K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
733 |
728 |
$91K |
| A4554 |
Disposable underpads, all sizes |
853 |
850 |
$78K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,167 |
3,129 |
$38K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
183 |
182 |
$32K |
| A4335 |
Incontinence supply; miscellaneous |
2,888 |
2,863 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
16 |
16 |
$624.05 |
| E0156 |
Seat attachment, walker |
18 |
18 |
$153.24 |