| Code | Description | Claims | Bene. Records | Total Paid |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,217 |
1,189 |
$140K |
| A4554 |
Disposable underpads, all sizes |
2,999 |
2,921 |
$110K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
700 |
685 |
$94K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
268 |
261 |
$50K |
| A4335 |
Incontinence supply; miscellaneous |
3,123 |
3,039 |
$16K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
645 |
629 |
$14K |