| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
11,861 |
11,811 |
$444K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,484 |
3,469 |
$409K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,103 |
7,205 |
$291K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,888 |
1,852 |
$291K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,241 |
2,235 |
$221K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
572 |
563 |
$91K |
| A4335 |
Incontinence supply; miscellaneous |
13,840 |
13,680 |
$76K |
| K0001 |
Standard wheelchair |
638 |
633 |
$7K |
| E0570 |
Nebulizer, with compressor |
307 |
307 |
$543.31 |