| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,987 |
3,787 |
$377K |
| A4927 |
Gloves, non-sterile, per 100 |
18,544 |
17,379 |
$328K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,151 |
2,979 |
$305K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,834 |
4,421 |
$280K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,233 |
3,052 |
$269K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,387 |
2,029 |
$258K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,041 |
1,938 |
$192K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,637 |
5,401 |
$130K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
969 |
913 |
$93K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
3,013 |
2,867 |
$86K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
60 |
55 |
$4K |
| 90688 |
|
279 |
195 |
$85.15 |
| G0008 |
Administration of influenza virus vaccine |
994 |
687 |
$60.41 |
| 90653 |
|
205 |
164 |
$6.84 |
| 90756 |
|
20 |
12 |
$4.24 |
| 90658 |
|
32 |
28 |
$0.00 |
| 91322 |
|
80 |
69 |
$0.00 |
| 0124A |
|
90 |
50 |
$0.00 |
| 90694 |
|
371 |
232 |
$0.00 |
| 90480 |
|
100 |
86 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
49 |
41 |
$0.00 |