| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
3,975 |
3,957 |
$554K |
| A4554 |
Disposable underpads, all sizes |
10,793 |
10,748 |
$387K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
2,179 |
2,158 |
$274K |
| X1939 |
|
3,921 |
3,902 |
$255K |
| T5999 |
Supply, not otherwise specified |
20,526 |
20,443 |
$215K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,080 |
5,071 |
$161K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,323 |
1,313 |
$136K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,768 |
1,768 |
$119K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,045 |
2,031 |
$104K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,281 |
1,274 |
$64K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
287 |
287 |
$53K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
369 |
368 |
$49K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
86 |
86 |
$7K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
35 |
35 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
29 |
28 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
26 |
26 |
$2K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
16 |
16 |
$2K |