| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5185 |
Medication reminder service, non-face-to-face; per month |
1,105 |
1,095 |
$240K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
586 |
579 |
$40K |
| A4554 |
Disposable underpads, all sizes |
807 |
794 |
$38K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
289 |
282 |
$27K |
| E0570 |
Nebulizer, with compressor |
200 |
190 |
$14K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
63 |
63 |
$6K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
196 |
193 |
$5K |
| A4670 |
Automatic blood pressure monitor |
38 |
38 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
214 |
212 |
$666.57 |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
12 |
12 |
$469.72 |