| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
191 |
178 |
$27K |
| T4541 |
Incontinence product, disposable underpad, large, each |
447 |
427 |
$24K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
328 |
316 |
$17K |
| A4927 |
Gloves, non-sterile, per 100 |
654 |
627 |
$15K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
119 |
112 |
$13K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
90 |
87 |
$11K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
76 |
75 |
$10K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
49 |
44 |
$10K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
29 |
29 |
$3K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
28 |
28 |
$3K |
| A4670 |
Automatic blood pressure monitor |
34 |
32 |
$2K |
| E0570 |
Nebulizer, with compressor |
32 |
29 |
$2K |
| A4663 |
Blood pressure cuff only |
35 |
33 |
$912.96 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
40 |
35 |
$495.00 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
21 |
13 |
$425.60 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
39 |
35 |
$203.28 |
| E0156 |
Seat attachment, walker |
23 |
12 |
$192.15 |
| A7015 |
Aerosol mask, used with dme nebulizer |
39 |
34 |
$51.20 |