| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,735 |
13,700 |
$723K |
| T4541 |
Incontinence product, disposable underpad, large, each |
13,605 |
13,553 |
$447K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,297 |
3,290 |
$158K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
5,010 |
4,999 |
$76K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,104 |
1,099 |
$19K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
56 |
56 |
$7K |
| A4335 |
Incontinence supply; miscellaneous |
1,102 |
1,097 |
$5K |