| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
826 |
823 |
$65K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
1,267 |
1,233 |
$63K |
| A4554 |
Disposable underpads, all sizes |
749 |
680 |
$32K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
595 |
582 |
$23K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
224 |
214 |
$14K |
| E0605 |
Vaporizer, room type |
588 |
588 |
$7K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
68 |
61 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
372 |
348 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
64 |
64 |
$500.03 |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$8.80 |