| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,513 |
1,491 |
$219K |
| A4554 |
Disposable underpads, all sizes |
5,925 |
5,888 |
$212K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,397 |
1,394 |
$168K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
795 |
791 |
$129K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,429 |
2,419 |
$99K |
| E0570 |
Nebulizer, with compressor |
598 |
596 |
$69K |
| A4335 |
Incontinence supply; miscellaneous |
5,956 |
5,921 |
$32K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
152 |
149 |
$25K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
858 |
856 |
$16K |
| A7015 |
Aerosol mask, used with dme nebulizer |
858 |
856 |
$1K |