| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
7,545 |
7,483 |
$261K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,005 |
1,998 |
$180K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,556 |
4,537 |
$163K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,807 |
1,797 |
$159K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
685 |
679 |
$72K |
| A4335 |
Incontinence supply; miscellaneous |
8,363 |
8,305 |
$44K |
| E0570 |
Nebulizer, with compressor |
456 |
450 |
$42K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
199 |
199 |
$16K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,548 |
1,528 |
$9K |
| A4259 |
Lancets, per box of 100 |
1,464 |
1,458 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
490 |
483 |
$840.53 |
| A7015 |
Aerosol mask, used with dme nebulizer |
194 |
191 |
$227.54 |
| A4258 |
Spring-powered device for lancet, each |
51 |
51 |
$69.21 |
| A4256 |
Normal, low and high calibrator solution / chips |
38 |
37 |
$31.55 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
1,519 |
1,421 |
$0.00 |
| 0012A |
|
27 |
27 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 0031A |
|
23 |
23 |
$0.00 |