| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,345 |
2,316 |
$154K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,427 |
1,415 |
$148K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,822 |
1,798 |
$100K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
739 |
730 |
$94K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,019 |
1,010 |
$87K |
| E0570 |
Nebulizer, with compressor |
382 |
382 |
$27K |
| A4335 |
Incontinence supply; miscellaneous |
149 |
148 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
229 |
226 |
$5K |
| K0001 |
Standard wheelchair |
327 |
326 |
$4K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
12 |
12 |
$3K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
13 |
12 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
237 |
237 |
$593.52 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
206 |
206 |
$256.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
34 |
34 |
$47.26 |