| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
1,631 |
1,606 |
$72K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,379 |
1,282 |
$59K |
| A4927 |
Gloves, non-sterile, per 100 |
1,778 |
1,753 |
$28K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
73 |
73 |
$9K |
| E0570 |
Nebulizer, with compressor |
195 |
133 |
$2K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
15 |
15 |
$953.28 |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
12 |
12 |
$752.64 |
| 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 |
12 |
$737.06 |