| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,552 |
6,496 |
$449K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,349 |
2,334 |
$424K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,231 |
2,188 |
$315K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,553 |
5,501 |
$268K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
976 |
974 |
$254K |
| A4927 |
Gloves, non-sterile, per 100 |
5,717 |
5,672 |
$86K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
469 |
456 |
$66K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
15 |
15 |
$2K |