| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
328 |
317 |
$36K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
222 |
218 |
$30K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
342 |
315 |
$29K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
184 |
181 |
$18K |
| T4541 |
Incontinence product, disposable underpad, large, each |
52 |
51 |
$2K |