| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
588 |
536 |
$57K |
| A4554 |
Disposable underpads, all sizes |
976 |
929 |
$51K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,030 |
788 |
$49K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
323 |
313 |
$32K |
| E0570 |
Nebulizer, with compressor |
447 |
425 |
$21K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
156 |
141 |
$12K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
81 |
77 |
$9K |
| A4927 |
Gloves, non-sterile, per 100 |
893 |
824 |
$7K |