| Code | Description | Claims | Beneficiaries | Total Paid |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,490 |
1,489 |
$269K |
| A4554 |
Disposable underpads, all sizes |
5,318 |
5,313 |
$191K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
701 |
701 |
$188K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,090 |
1,090 |
$153K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,694 |
2,691 |
$107K |
| A4335 |
Incontinence supply; miscellaneous |
5,685 |
5,679 |
$32K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
121 |
121 |
$12K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,063 |
1,060 |
$5K |