| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,600 |
5,265 |
$321K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,323 |
2,179 |
$267K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,563 |
1,475 |
$185K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,906 |
1,795 |
$158K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,954 |
2,792 |
$117K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
438 |
410 |
$75K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
238 |
211 |
$36K |
| A4927 |
Gloves, non-sterile, per 100 |
277 |
237 |
$5K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
78 |
76 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
35 |
35 |
$131.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
18 |
18 |
$25.02 |