| Code | Description | Claims | Beneficiaries | Total Paid |
| E1399 |
Durable medical equipment, miscellaneous |
443 |
356 |
$415K |
| A4554 |
Disposable underpads, all sizes |
8,193 |
7,987 |
$288K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,937 |
1,924 |
$274K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,363 |
4,145 |
$174K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,071 |
1,064 |
$172K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
879 |
869 |
$97K |
| A4335 |
Incontinence supply; miscellaneous |
9,071 |
8,775 |
$48K |