| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,807 |
8,751 |
$1.37M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,698 |
7,656 |
$997K |
| A4554 |
Disposable underpads, all sizes |
23,937 |
23,783 |
$893K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,324 |
3,298 |
$597K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,682 |
8,621 |
$253K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,619 |
1,612 |
$176K |
| A4335 |
Incontinence supply; miscellaneous |
25,111 |
24,905 |
$138K |
| E0570 |
Nebulizer, with compressor |
517 |
514 |
$53K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
6,460 |
6,406 |
$31K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
494 |
491 |
$9K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
69 |
69 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
849 |
846 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
50 |
50 |
$6K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
24 |
24 |
$3K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
15 |
15 |
$1K |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$747.60 |
| A7015 |
Aerosol mask, used with dme nebulizer |
494 |
491 |
$615.35 |