| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
228 |
221 |
$8K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
80 |
79 |
$8K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
69 |
68 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
31 |
30 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
30 |
29 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
128 |
125 |
$1K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
14 |
13 |
$732.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
29 |
29 |
$647.10 |