| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,305 |
1,208 |
$182K |
| A4554 |
Disposable underpads, all sizes |
4,783 |
4,419 |
$152K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,079 |
980 |
$133K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
614 |
593 |
$114K |
| A4335 |
Incontinence supply; miscellaneous |
5,132 |
4,727 |
$25K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
528 |
473 |
$12K |