| Code | Description | Claims | Beneficiaries | Total Paid |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,317 |
3,921 |
$522K |
| A4554 |
Disposable underpads, all sizes |
6,670 |
6,183 |
$224K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,152 |
1,122 |
$185K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
333 |
325 |
$64K |
| A4335 |
Incontinence supply; miscellaneous |
6,234 |
5,799 |
$28K |