| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
890 |
731 |
$56K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
635 |
522 |
$30K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
188 |
155 |
$24K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
193 |
156 |
$22K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
230 |
195 |
$22K |
| A4927 |
Gloves, non-sterile, per 100 |
696 |
590 |
$11K |
| A5120 |
Skin barrier, wipes or swabs, each |
770 |
665 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
30 |
28 |
$5K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
16 |
16 |
$2K |