| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/pad |
40,667 |
36,057 |
$2.46M |
| T4541 |
Large disposable underpad |
36,464 |
36,301 |
$2.35M |
| T4527 |
Adult size pull-on lg |
26,076 |
26,018 |
$2.06M |
| A6250 |
Skin seal protect moisturizr |
28,900 |
28,771 |
$445K |
| T4536 |
Reusable pull-on any size |
34,041 |
34,003 |
$424K |
| T4523 |
Adult size brief/diaper lg |
3,909 |
3,875 |
$368K |
| A4335 |
Incontinence supply |
28,904 |
28,492 |
$187K |
| T4526 |
Adult size pull-on med |
2,903 |
2,897 |
$180K |
| T4528 |
Adult size pull-on xl |
2,254 |
2,248 |
$180K |
| T4537 |
Reusable underpad bed size |
4,293 |
4,287 |
$142K |
| T4524 |
Adult size brief/diaper xl |
961 |
953 |
$86K |
| A4927 |
Non-sterile gloves |
827 |
822 |
$25K |
| T4522 |
Adult size brief/diaper med |
41 |
41 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
27 |
27 |
$2K |
| T4525 |
Adult size pull-on sm |
30 |
29 |
$2K |
| A5500 |
Diab shoe for density insert |
17 |
17 |
$1K |