| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/pad |
41,355 |
40,831 |
$1.58M |
| T4527 |
Adult size pull-on lg |
19,492 |
19,335 |
$1.49M |
| T4528 |
Adult size pull-on xl |
13,112 |
12,997 |
$1.07M |
| T4526 |
Adult size pull-on med |
14,638 |
14,464 |
$896K |
| T4541 |
Large disposable underpad |
38,940 |
38,545 |
$779K |
| T4544 |
Adlt disp und/pull on abv xl |
5,069 |
5,031 |
$692K |
| T4534 |
Youth size pull-on |
4,783 |
4,715 |
$503K |
| T4537 |
Reusable underpad bed size |
14,902 |
14,852 |
$445K |
| A4927 |
Non-sterile gloves |
30,719 |
28,607 |
$332K |
| T4525 |
Adult size pull-on sm |
3,214 |
3,168 |
$245K |
| T4540 |
Reusable underpad chair size |
9,188 |
9,159 |
$227K |
| T4524 |
Adult size brief/diaper xl |
2,618 |
2,584 |
$223K |
| T4523 |
Adult size brief/diaper lg |
2,638 |
2,601 |
$217K |
| T4522 |
Adult size brief/diaper med |
2,904 |
2,847 |
$204K |
| A4554 |
Disposable underpads |
8,974 |
8,005 |
$192K |
| T4543 |
Adult disp brief/diap abv xl |
1,111 |
1,099 |
$180K |
| T4530 |
Ped size brief/diaper lg |
1,572 |
1,560 |
$141K |
| A4351 |
Straight tip urine catheter |
250 |
210 |
$14K |
| A4357 |
Bedside drainage bag |
1,093 |
871 |
$9K |
| A4520 |
Incontinence garment anytype |
2,142 |
1,861 |
$8K |
| T4532 |
Ped size pull-on lg |
63 |
63 |
$6K |
| A4358 |
Urinary leg or abdomen bag |
577 |
463 |
$4K |
| A4349 |
Disposable male external cat |
300 |
227 |
$3K |
| A4335 |
Incontinence supply |
596 |
596 |
$2K |