| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,996 |
4,978 |
$748K |
| A4554 |
Disposable underpads, all sizes |
11,545 |
11,526 |
$443K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,318 |
3,314 |
$411K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,768 |
1,764 |
$312K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,564 |
11,542 |
$173K |
| A4335 |
Incontinence supply; miscellaneous |
11,600 |
11,570 |
$64K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
245 |
245 |
$1K |