| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,178 |
1,148 |
$158K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,480 |
2,426 |
$145K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,163 |
1,139 |
$126K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,414 |
2,355 |
$85K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
719 |
700 |
$72K |
| E0570 |
Nebulizer, with compressor |
320 |
320 |
$36K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
466 |
464 |
$35K |
| A4335 |
Incontinence supply; miscellaneous |
1,073 |
1,057 |
$15K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
80 |
78 |
$10K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
13 |
13 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
141 |
139 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
35 |
35 |
$756.15 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
141 |
141 |
$319.30 |