| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
850 |
835 |
$110K |
| A4554 |
Disposable underpads, all sizes |
1,397 |
1,354 |
$44K |
| A4335 |
Incontinence supply; miscellaneous |
1,544 |
1,518 |
$7K |
| E0570 |
Nebulizer, with compressor |
57 |
56 |
$6K |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
151 |
147 |
$906.39 |
| A4617 |
Mouth piece |
144 |
141 |
$366.87 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
36 |
35 |
$149.80 |
| A7015 |
Aerosol mask, used with dme nebulizer |
58 |
57 |
$68.54 |