| Code | Description | Claims | Beneficiaries | Total Paid |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
366 |
364 |
$35K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
501 |
499 |
$34K |
| A4554 |
Disposable underpads, all sizes |
564 |
561 |
$19K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
372 |
372 |
$12K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
802 |
797 |
$8K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
339 |
338 |
$6K |