| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
386 |
340 |
$40K |
| A4554 |
Disposable underpads, all sizes |
1,048 |
955 |
$30K |
| E0570 |
Nebulizer, with compressor |
218 |
218 |
$21K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
600 |
549 |
$21K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
310 |
275 |
$10K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
82 |
64 |
$6K |
| A4335 |
Incontinence supply; miscellaneous |
1,145 |
1,044 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
279 |
275 |
$5K |
| A4259 |
Lancets, per box of 100 |
231 |
222 |
$2K |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$747.60 |
| A4245 |
Alcohol wipes, per box |
282 |
272 |
$432.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
275 |
272 |
$310.02 |