| Code | Description | Claims | Bene. Records | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,458 |
1,354 |
$51K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
584 |
523 |
$38K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
284 |
243 |
$21K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
146 |
140 |
$9K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
83 |
63 |
$6K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
37 |
36 |
$6K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
82 |
70 |
$5K |