| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
9,406 |
9,229 |
$335K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,613 |
2,584 |
$334K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,541 |
2,519 |
$284K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,703 |
4,583 |
$174K |
| E0570 |
Nebulizer, with compressor |
2,739 |
2,664 |
$167K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
982 |
972 |
$155K |
| A4335 |
Incontinence supply; miscellaneous |
11,507 |
11,313 |
$60K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,897 |
1,857 |
$29K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,053 |
1,947 |
$13K |
| K0001 |
Standard wheelchair |
602 |
600 |
$4K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
12 |
12 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,912 |
1,873 |
$2K |
| A4259 |
Lancets, per box of 100 |
1,895 |
1,856 |
$2K |