| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
836 |
835 |
$54K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
297 |
297 |
$28K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
125 |
125 |
$14K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
389 |
389 |
$13K |
| A4670 |
Automatic blood pressure monitor |
182 |
182 |
$8K |
| E0110 |
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips |
132 |
132 |
$8K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
53 |
53 |
$7K |
| E0570 |
Nebulizer, with compressor |
30 |
30 |
$1K |