| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
4,098 |
4,068 |
$627K |
| A4554 |
Disposable underpads, all sizes |
7,205 |
7,163 |
$431K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,246 |
1,242 |
$237K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,923 |
5,897 |
$190K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
5,805 |
5,775 |
$173K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,877 |
2,869 |
$91K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
953 |
948 |
$82K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
1,911 |
1,905 |
$34K |
| A4927 |
Gloves, non-sterile, per 100 |
2,456 |
2,440 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
678 |
677 |
$11K |
| A7015 |
Aerosol mask, used with dme nebulizer |
673 |
672 |
$715.78 |
| A4930 |
Gloves, sterile, per pair |
24 |
24 |
$291.60 |