| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
2,296 |
2,284 |
$238K |
| A4554 |
Disposable underpads, all sizes |
3,589 |
3,534 |
$100K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,894 |
1,872 |
$58K |
| A4335 |
Incontinence supply; miscellaneous |
5,001 |
4,839 |
$25K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,123 |
3,107 |
$9K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
78 |
77 |
$6K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
849 |
843 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,125 |
3,109 |
$4K |
| A4259 |
Lancets, per box of 100 |
788 |
784 |
$283.11 |