| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,109 |
3,107 |
$149K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,289 |
2,289 |
$108K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,354 |
1,354 |
$74K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
50 |
50 |
$4K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
14 |
14 |
$151.74 |