| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,429 |
5,404 |
$329K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,362 |
2,354 |
$299K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,695 |
1,686 |
$213K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,005 |
1,000 |
$169K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,737 |
1,734 |
$86K |
| A4927 |
Gloves, non-sterile, per 100 |
4,006 |
3,993 |
$33K |