| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
6,170 |
6,063 |
$559K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,808 |
3,728 |
$416K |
| A4554 |
Disposable underpads, all sizes |
5,932 |
5,779 |
$345K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
6,306 |
6,169 |
$205K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,630 |
1,609 |
$196K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,586 |
3,507 |
$114K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
1,216 |
1,200 |
$102K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
4,065 |
3,963 |
$70K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
560 |
547 |
$54K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
375 |
365 |
$18K |