| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12,327 |
7,423 |
$859K |
| A4554 |
Disposable underpads, all sizes |
17,765 |
17,732 |
$687K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
17,523 |
13,525 |
$523K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,335 |
4,616 |
$489K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,941 |
2,536 |
$379K |
| A4335 |
Incontinence supply; miscellaneous |
20,512 |
20,472 |
$116K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,551 |
3,493 |
$18K |