| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
752 |
588 |
$128K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,138 |
830 |
$75K |
| T4541 |
Incontinence product, disposable underpad, large, each |
957 |
722 |
$35K |
| A4927 |
Gloves, non-sterile, per 100 |
1,363 |
761 |
$18K |
| E0570 |
Nebulizer, with compressor |
98 |
80 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
16 |
12 |
$2K |