| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
494 |
485 |
$62K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
389 |
380 |
$39K |
| E0570 |
Nebulizer, with compressor |
582 |
582 |
$34K |
| A4554 |
Disposable underpads, all sizes |
494 |
480 |
$29K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
243 |
240 |
$28K |
| A4670 |
Automatic blood pressure monitor |
52 |
52 |
$2K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
27 |
26 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
45 |
42 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
12 |
12 |
$2K |