| Code | Description | Claims | Beneficiaries | Total Paid |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
281 |
263 |
$45K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
465 |
443 |
$45K |
| A4554 |
Disposable underpads, all sizes |
801 |
798 |
$35K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
466 |
381 |
$14K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
146 |
129 |
$12K |
| A4335 |
Incontinence supply; miscellaneous |
1,246 |
1,241 |
$7K |