| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
954 |
954 |
$130K |
| A4554 |
Disposable underpads, all sizes |
3,265 |
3,262 |
$120K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
574 |
574 |
$71K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,335 |
1,316 |
$51K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
241 |
241 |
$44K |
| A4335 |
Incontinence supply; miscellaneous |
3,633 |
3,632 |
$21K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
14 |
14 |
$2K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
20 |
20 |
$2K |