| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
9,055 |
8,726 |
$603K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,396 |
2,294 |
$422K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,855 |
2,772 |
$410K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,865 |
2,773 |
$400K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
965 |
925 |
$261K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,041 |
4,884 |
$238K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
635 |
609 |
$70K |
| A4927 |
Gloves, non-sterile, per 100 |
3,073 |
2,934 |
$44K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
296 |
288 |
$33K |
| A4670 |
Automatic blood pressure monitor |
36 |
36 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
16 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
27 |
27 |
$654.73 |
| E0156 |
Seat attachment, walker |
60 |
57 |
$498.73 |