| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
95 |
93 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
108 |
78 |
$1K |
| E0570 |
Nebulizer, with compressor |
138 |
125 |
$46.48 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
85 |
85 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
17 |
13 |
$0.00 |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
40 |
39 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
60 |
60 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
44 |
44 |
$0.00 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$0.00 |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13 |
13 |
$0.00 |