| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,849 |
1,709 |
$182K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,523 |
1,449 |
$146K |
| A4554 |
Disposable underpads, all sizes |
2,198 |
2,048 |
$105K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
870 |
825 |
$91K |
| A4927 |
Gloves, non-sterile, per 100 |
3,445 |
3,190 |
$68K |
| E0601 |
Continuous positive airway pressure (cpap) device |
621 |
397 |
$12K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
144 |
130 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
83 |
49 |
$54.10 |