| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,960 |
1,944 |
$217K |
| A4554 |
Disposable underpads, all sizes |
5,297 |
5,236 |
$173K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,585 |
3,548 |
$149K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,179 |
1,172 |
$120K |
| E0570 |
Nebulizer, with compressor |
949 |
891 |
$100K |
| A4335 |
Incontinence supply; miscellaneous |
7,355 |
7,248 |
$39K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
25 |
25 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
162 |
161 |
$767.28 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
166 |
163 |
$319.70 |
| A7015 |
Aerosol mask, used with dme nebulizer |
165 |
162 |
$216.22 |
| A4259 |
Lancets, per box of 100 |
161 |
161 |
$62.50 |
| E0607 |
Home blood glucose monitor |
12 |
12 |
$0.00 |