| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
906 |
874 |
$12K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
52 |
52 |
$5K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
72 |
67 |
$4K |
| T4541 |
Incontinence product, disposable underpad, large, each |
62 |
60 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
77 |
62 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
57 |
54 |
$2K |
| K0001 |
Standard wheelchair |
183 |
168 |
$2K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
15 |
13 |
$935.36 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
139 |
137 |
$306.52 |
| A4927 |
Gloves, non-sterile, per 100 |
12 |
12 |
$98.07 |