| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,406 |
5,346 |
$834K |
| A4554 |
Disposable underpads, all sizes |
16,518 |
16,263 |
$591K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,087 |
3,041 |
$549K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,343 |
3,196 |
$452K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,165 |
3,151 |
$431K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,699 |
3,659 |
$161K |
| E0570 |
Nebulizer, with compressor |
1,352 |
1,312 |
$110K |
| A4335 |
Incontinence supply; miscellaneous |
15,584 |
15,379 |
$82K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,195 |
1,155 |
$17K |
| K0001 |
Standard wheelchair |
637 |
631 |
$8K |
| K0002 |
Standard hemi (low seat) wheelchair |
437 |
437 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
291 |
290 |
$364.63 |