| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,524 |
2,201 |
$189K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,027 |
949 |
$99K |
| A4927 |
Gloves, non-sterile, per 100 |
5,037 |
4,395 |
$97K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
923 |
815 |
$87K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
640 |
566 |
$75K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,396 |
2,031 |
$53K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
747 |
623 |
$17K |