| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,545 |
4,483 |
$678K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,763 |
4,704 |
$588K |
| A4554 |
Disposable underpads, all sizes |
12,686 |
12,479 |
$459K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,563 |
1,545 |
$295K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,639 |
3,575 |
$127K |
| A4335 |
Incontinence supply; miscellaneous |
12,888 |
12,668 |
$67K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
12,503 |
12,288 |
$55K |
| E0570 |
Nebulizer, with compressor |
184 |
178 |
$17K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
184 |
178 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
185 |
179 |
$210.61 |