| Code | Description | Claims | Beneficiaries | Total Paid |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
2,597 |
2,423 |
$350K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,177 |
2,076 |
$301K |
| A4554 |
Disposable underpads, all sizes |
4,244 |
4,008 |
$253K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,556 |
1,479 |
$241K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
903 |
848 |
$125K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
811 |
750 |
$88K |
| A4335 |
Incontinence supply; miscellaneous |
2,624 |
2,473 |
$58K |
| A4927 |
Gloves, non-sterile, per 100 |
2,560 |
2,385 |
$49K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
348 |
336 |
$47K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
270 |
255 |
$12K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
25 |
24 |
$3K |