| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
3,587 |
3,500 |
$221K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,381 |
1,338 |
$181K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
2,900 |
2,820 |
$93K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,779 |
2,721 |
$86K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,225 |
2,160 |
$73K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
225 |
225 |
$69K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
677 |
658 |
$62K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
952 |
911 |
$13K |
| A4927 |
Gloves, non-sterile, per 100 |
3,005 |
2,933 |
$13K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
75 |
71 |
$4K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
21 |
13 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
77 |
72 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
45 |
41 |
$43.87 |