| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,461 |
1,426 |
$245K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,486 |
1,468 |
$167K |
| E0570 |
Nebulizer, with compressor |
873 |
851 |
$149K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,377 |
1,343 |
$144K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,028 |
996 |
$119K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,349 |
1,320 |
$87K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
311 |
309 |
$75K |
| T4541 |
Incontinence product, disposable underpad, large, each |
756 |
737 |
$36K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
100 |
98 |
$14K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
271 |
260 |
$11K |
| A4670 |
Automatic blood pressure monitor |
132 |
131 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
228 |
226 |
$4K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
28 |
15 |
$803.54 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
22 |
12 |
$278.26 |