| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
643 |
643 |
$118K |
| A4554 |
Disposable underpads, all sizes |
2,312 |
2,308 |
$89K |
| E0570 |
Nebulizer, with compressor |
251 |
245 |
$22K |
| A4335 |
Incontinence supply; miscellaneous |
2,460 |
2,455 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
253 |
246 |
$4K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
222 |
218 |
$857.51 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$15.96 |