| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,195 |
3,180 |
$349K |
| T4541 |
Incontinence product, disposable underpad, large, each |
5,091 |
5,023 |
$278K |
| A4927 |
Gloves, non-sterile, per 100 |
12,932 |
12,791 |
$232K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
4,383 |
4,342 |
$206K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,226 |
4,181 |
$199K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,039 |
2,009 |
$188K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,537 |
1,518 |
$169K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
987 |
970 |
$119K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
630 |
625 |
$118K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
793 |
789 |
$85K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
558 |
548 |
$51K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
580 |
576 |
$44K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
388 |
383 |
$38K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
327 |
322 |
$28K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
76 |
75 |
$6K |
| E0570 |
Nebulizer, with compressor |
13 |
12 |
$979.67 |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
14 |
14 |
$824.51 |