| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,904 |
1,883 |
$273K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,221 |
1,192 |
$185K |
| A4554 |
Disposable underpads, all sizes |
4,786 |
4,706 |
$141K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
600 |
591 |
$136K |
| A4335 |
Incontinence supply; miscellaneous |
4,796 |
4,713 |
$20K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
68 |
67 |
$7K |