| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,767 |
4,681 |
$455K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,442 |
3,393 |
$149K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
3,569 |
3,519 |
$118K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,309 |
4,251 |
$101K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
469 |
462 |
$88K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
304 |
304 |
$27K |
| A4335 |
Incontinence supply; miscellaneous |
1,529 |
1,487 |
$21K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
234 |
234 |
$20K |
| A4927 |
Gloves, non-sterile, per 100 |
1,239 |
1,183 |
$12K |