| Code | Description | Claims | Bene. Records | Total Paid |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,258 |
2,230 |
$150K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,769 |
1,741 |
$78K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
147 |
145 |
$46K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
342 |
339 |
$40K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
188 |
182 |
$16K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
25 |
24 |
$3K |