| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,711 |
1,587 |
$127K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
2,904 |
2,700 |
$106K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
924 |
822 |
$69K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
92 |
65 |
$6K |
| E0570 |
Nebulizer, with compressor |
55 |
52 |
$4K |
| A4670 |
Automatic blood pressure monitor |
14 |
13 |
$645.45 |
| E0240 |
Bath/shower chair, with or without wheels, any size |
13 |
13 |
$580.97 |