| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
973 |
963 |
$97K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,581 |
1,553 |
$87K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
500 |
496 |
$57K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
664 |
659 |
$56K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
268 |
260 |
$45K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,307 |
1,289 |
$44K |