| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,921 |
6,826 |
$478K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
6,467 |
6,389 |
$422K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,894 |
6,804 |
$387K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
6,777 |
6,683 |
$85K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
783 |
783 |
$26K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,064 |
1,061 |
$17K |
| A4335 |
Incontinence supply; miscellaneous |
1,066 |
1,064 |
$7K |