| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,173 |
3,121 |
$188K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,183 |
1,170 |
$114K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,195 |
1,185 |
$108K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
903 |
886 |
$99K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,919 |
1,898 |
$77K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
269 |
263 |
$50K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
25 |
25 |
$5K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
25 |
25 |
$2K |