| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,643 |
3,396 |
$584K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,834 |
2,596 |
$445K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,430 |
5,918 |
$387K |
| A5120 |
Skin barrier, wipes or swabs, each |
6,474 |
5,924 |
$336K |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,325 |
5,829 |
$298K |
| A4927 |
Gloves, non-sterile, per 100 |
5,765 |
5,285 |
$127K |
| A4553 |
Non-disposable underpads, all sizes |
3,901 |
3,560 |
$55K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
213 |
211 |
$29K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
44 |
42 |
$0.00 |