| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,699 |
1,666 |
$209K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,341 |
1,314 |
$201K |
| A4554 |
Disposable underpads, all sizes |
3,891 |
3,867 |
$139K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,056 |
1,011 |
$122K |
| E0570 |
Nebulizer, with compressor |
267 |
260 |
$30K |
| A4335 |
Incontinence supply; miscellaneous |
5,018 |
4,992 |
$27K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
35 |
35 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
42 |
41 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
256 |
248 |
$498.17 |
| A7015 |
Aerosol mask, used with dme nebulizer |
271 |
264 |
$356.76 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$0.00 |
| 90686 |
|
77 |
77 |
$0.00 |