| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
3,340 |
173 |
$168K |
| A4554 |
Disposable underpads, all sizes |
1,880 |
1,858 |
$72K |
| E0570 |
Nebulizer, with compressor |
579 |
558 |
$59K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
192 |
190 |
$33K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
123 |
123 |
$17K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
54 |
53 |
$16K |
| A4335 |
Incontinence supply; miscellaneous |
1,909 |
1,878 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
611 |
532 |
$9K |
| A7015 |
Aerosol mask, used with dme nebulizer |
619 |
544 |
$635.02 |