| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,340 |
5,333 |
$953K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,148 |
3,130 |
$656K |
| A4554 |
Disposable underpads, all sizes |
11,072 |
11,049 |
$401K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,326 |
2,326 |
$343K |
| A4335 |
Incontinence supply; miscellaneous |
11,051 |
11,028 |
$59K |