| Code | Description | Claims | Beneficiaries | Total Paid |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,822 |
1,593 |
$98K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
601 |
556 |
$81K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,955 |
1,741 |
$60K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
430 |
376 |
$58K |
| A4927 |
Gloves, non-sterile, per 100 |
2,254 |
1,905 |
$46K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13 |
12 |
$1K |