| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,491 |
2,366 |
$135K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,104 |
1,057 |
$100K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
816 |
791 |
$91K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
736 |
708 |
$58K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,482 |
1,441 |
$57K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
329 |
320 |
$55K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
257 |
257 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
72 |
72 |
$1K |