| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
6,152 |
4,801 |
$66K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
975 |
898 |
$59K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
576 |
488 |
$50K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
467 |
422 |
$38K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
530 |
457 |
$21K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
193 |
167 |
$18K |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
22 |
19 |
$33.33 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
91 |
90 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
181 |
178 |
$0.00 |