| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
10,711 |
10,680 |
$1.66M |
| A4554 |
Disposable underpads, all sizes |
18,242 |
18,148 |
$692K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,987 |
2,963 |
$576K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,021 |
3,984 |
$471K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,403 |
6,370 |
$197K |
| A4335 |
Incontinence supply; miscellaneous |
18,348 |
18,116 |
$102K |
| E0172 |
Seat lift mechanism placed over or on top of toilet, any type |
55 |
55 |
$72K |
| A4670 |
Automatic blood pressure monitor |
452 |
449 |
$28K |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
1,131 |
1,047 |
$5K |