| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
24,040 |
23,741 |
$1.02M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
24,104 |
23,823 |
$999K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
17,536 |
17,362 |
$739K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
21,093 |
20,807 |
$220K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,200 |
3,176 |
$141K |
| A4335 |
Incontinence supply; miscellaneous |
21,107 |
20,802 |
$91K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
3,975 |
3,924 |
$62K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
644 |
630 |
$24K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
296 |
292 |
$14K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
344 |
344 |
$12K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
60 |
60 |
$3K |