| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,737 |
1,665 |
$215K |
| A4930 |
Gloves, sterile, per pair |
855 |
826 |
$60K |
| A4554 |
Disposable underpads, all sizes |
1,036 |
985 |
$59K |
| A4928 |
Surgical mask, per 20 |
517 |
479 |
$45K |
| A4670 |
Automatic blood pressure monitor |
96 |
96 |
$6K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
28 |
28 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
116 |
80 |
$3K |
| 0012A |
|
37 |
37 |
$2K |
| 0011A |
|
42 |
42 |
$2K |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$1K |
| E1639 |
Scale, each |
12 |
12 |
$966.60 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
17 |
17 |
$0.00 |
| 91301 |
|
84 |
81 |
$0.00 |