| Code | Description | Claims | Beneficiaries | Total Paid |
| A4554 |
Disposable underpads, all sizes |
9,576 |
9,440 |
$368K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,410 |
2,385 |
$296K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,202 |
6,144 |
$274K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,950 |
1,927 |
$216K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
712 |
699 |
$128K |
| A4335 |
Incontinence supply; miscellaneous |
11,021 |
10,871 |
$58K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
217 |
211 |
$30K |