| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,309 |
1,300 |
$67K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
864 |
858 |
$33K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
403 |
403 |
$23K |
| E0570 |
Nebulizer, with compressor |
61 |
61 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
114 |
114 |
$8K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
63 |
63 |
$5K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
29 |
29 |
$2K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
12 |
12 |
$87.09 |