| Code | Description | Claims | Beneficiaries | Total Paid |
| A4554 |
Disposable underpads, all sizes |
1,823 |
1,805 |
$66K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
182 |
177 |
$32K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
121 |
119 |
$19K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
95 |
94 |
$13K |
| A4335 |
Incontinence supply; miscellaneous |
2,017 |
1,991 |
$11K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,924 |
1,904 |
$9K |