| Code | Description | Claims | Beneficiaries | Total Paid |
| A4554 |
Disposable underpads, all sizes |
5,076 |
5,014 |
$187K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,817 |
1,806 |
$166K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,008 |
1,001 |
$107K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,366 |
1,357 |
$45K |
| A4335 |
Incontinence supply; miscellaneous |
6,719 |
6,634 |
$37K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
171 |
169 |
$15K |