| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
846 |
814 |
$94K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,327 |
1,201 |
$91K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
626 |
605 |
$76K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
464 |
451 |
$71K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
426 |
401 |
$65K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,179 |
1,124 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
936 |
909 |
$35K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
378 |
372 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
953 |
923 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
302 |
297 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
275 |
270 |
$9K |
| A4927 |
Gloves, non-sterile, per 100 |
256 |
237 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,353 |
1,332 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
81 |
77 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
42 |
39 |
$4K |
| E0570 |
Nebulizer, with compressor |
95 |
94 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
131 |
127 |
$2K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
13 |
13 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
44 |
41 |
$537.35 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$230.24 |