| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
18,906 |
18,871 |
$1.99M |
| A4554 |
Disposable underpads, all sizes |
24,793 |
24,772 |
$954K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,277 |
6,269 |
$781K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
14,534 |
14,522 |
$679K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,112 |
2,108 |
$324K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,511 |
2,508 |
$247K |
| A4335 |
Incontinence supply; miscellaneous |
39,981 |
39,941 |
$226K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,811 |
1,805 |
$188K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,698 |
1,694 |
$168K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
7,758 |
7,750 |
$39K |
| A4670 |
Automatic blood pressure monitor |
315 |
315 |
$20K |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
3,263 |
3,257 |
$0.00 |
| 0064A |
|
89 |
89 |
$0.00 |
| 91303 |
|
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
108 |
108 |
$0.00 |
| 91305 |
|
41 |
41 |
$0.00 |
| 90694 |
|
61 |
61 |
$0.00 |
| 90480 |
|
72 |
72 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
62 |
56 |
$0.00 |
| 91306 |
|
87 |
87 |
$0.00 |
| 0031A |
|
24 |
24 |
$0.00 |
| 0054A |
|
41 |
41 |
$0.00 |
| 91320 |
|
44 |
44 |
$0.00 |
| 91300 |
|
182 |
182 |
$0.00 |
| 0003A |
|
12 |
12 |
$0.00 |
| 0004A |
|
169 |
169 |
$0.00 |
| 90653 |
|
45 |
45 |
$0.00 |
| 91312 |
|
24 |
24 |
$0.00 |
| 0124A |
|
24 |
24 |
$0.00 |