| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,975 |
1,960 |
$112K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
638 |
634 |
$37K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
60 |
60 |
$7K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
64 |
64 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
24 |
24 |
$4K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
222 |
219 |
$3K |
| A4335 |
Incontinence supply; miscellaneous |
210 |
210 |
$1K |