| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
10,875 |
10,797 |
$576K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
9,474 |
9,359 |
$549K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,340 |
5,319 |
$316K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,907 |
3,889 |
$268K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
52 |
52 |
$5K |
| E0245 |
Tub stool or bench |
12 |
12 |
$629.44 |