| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,048 |
5,041 |
$738K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,814 |
3,785 |
$734K |
| A4554 |
Disposable underpads, all sizes |
18,203 |
18,139 |
$664K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,617 |
8,594 |
$430K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,884 |
2,869 |
$341K |
| A4335 |
Incontinence supply; miscellaneous |
18,492 |
18,420 |
$101K |