| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
266 |
263 |
$23K |
| A4554 |
Disposable underpads, all sizes |
358 |
344 |
$19K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
169 |
167 |
$18K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
162 |
156 |
$18K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
39 |
39 |
$7K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
126 |
121 |
$4K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
154 |
147 |
$4K |
| A4670 |
Automatic blood pressure monitor |
51 |
51 |
$3K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
40 |
39 |
$1K |
| 0124A |
|
17 |
17 |
$0.00 |