| Code | Description | Claims | Beneficiaries | Total Paid |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,348 |
1,128 |
$31K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
357 |
315 |
$23K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
377 |
313 |
$21K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
741 |
618 |
$12K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
129 |
119 |
$10K |