| Code | Description | Claims | Beneficiaries | Total Paid |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
3,002 |
2,920 |
$860K |
| A4554 |
Disposable underpads, all sizes |
4,361 |
4,253 |
$157K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
488 |
488 |
$146K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
170 |
169 |
$31K |
| A4335 |
Incontinence supply; miscellaneous |
4,364 |
4,240 |
$22K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
407 |
388 |
$8K |