| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
191 |
178 |
$27K |
| T4541 |
Large disposable underpad |
447 |
427 |
$24K |
| T4535 |
Disposable liner/shield/pad |
328 |
316 |
$17K |
| A4927 |
Non-sterile gloves |
654 |
627 |
$15K |
| T4528 |
Adult size pull-on xl |
119 |
112 |
$13K |
| T4526 |
Adult size pull-on med |
90 |
87 |
$11K |
| T4523 |
Adult size brief/diaper lg |
76 |
75 |
$10K |
| T4544 |
Adlt disp und/pull on abv xl |
49 |
44 |
$10K |
| T4524 |
Adult size brief/diaper xl |
29 |
29 |
$3K |
| T4522 |
Adult size brief/diaper med |
28 |
28 |
$3K |
| A4670 |
Automatic bp monitor, dial |
34 |
32 |
$2K |
| E0570 |
Nebulizer with compression |
32 |
29 |
$2K |
| A4663 |
Dialysis blood pressure cuff |
35 |
33 |
$912.96 |
| A7010 |
Disposable corrugated tubing |
40 |
35 |
$495.00 |
| E0143 |
Walker folding wheeled w/o s |
21 |
13 |
$425.60 |
| A7016 |
Nebulizer dome & mouthpiece |
39 |
35 |
$203.28 |
| E0156 |
Walker seat attachment |
23 |
12 |
$192.15 |
| A7015 |
Aerosol mask used w nebulize |
39 |
34 |
$51.20 |