| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,426 |
1,212 |
$118K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,529 |
1,923 |
$116K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,494 |
1,284 |
$113K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,862 |
1,772 |
$71K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,638 |
1,085 |
$65K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
376 |
149 |
$14K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
163 |
114 |
$6K |
| A4554 |
Disposable underpads, all sizes |
132 |
78 |
$1K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
63 |
38 |
$8.12 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
385 |
365 |
$7.22 |