| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
7,084 |
4,358 |
$580K |
| A4554 |
Disposable underpads, all sizes |
11,898 |
11,885 |
$444K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,838 |
2,297 |
$374K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,788 |
2,324 |
$251K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,772 |
7,013 |
$245K |
| A4335 |
Incontinence supply; miscellaneous |
12,397 |
12,384 |
$68K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
70 |
61 |
$12K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
748 |
737 |
$4K |