| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,236 |
5,199 |
$698K |
| A4554 |
Disposable underpads, all sizes |
16,098 |
15,989 |
$619K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,077 |
3,059 |
$358K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,633 |
1,613 |
$287K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,147 |
6,034 |
$243K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,025 |
1,019 |
$108K |
| A4335 |
Incontinence supply; miscellaneous |
17,588 |
17,441 |
$96K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
541 |
535 |
$82K |
| E0570 |
Nebulizer, with compressor |
120 |
120 |
$10K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
92 |
92 |
$10K |
| A4670 |
Automatic blood pressure monitor |
83 |
83 |
$5K |
| K0001 |
Standard wheelchair |
364 |
362 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
324 |
323 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
228 |
228 |
$608.00 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
121 |
120 |
$410.16 |
| A7015 |
Aerosol mask, used with dme nebulizer |
227 |
227 |
$231.89 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$109.85 |