| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5199 |
Personal care item, nos, each |
6,071 |
5,889 |
$354K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,395 |
1,367 |
$194K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,547 |
1,520 |
$186K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,375 |
1,336 |
$165K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,119 |
1,086 |
$123K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,128 |
1,093 |
$108K |
| A4554 |
Disposable underpads, all sizes |
2,155 |
2,081 |
$77K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
842 |
833 |
$28K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$1K |