| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,604 |
6,540 |
$759K |
| A4554 |
Disposable underpads, all sizes |
20,798 |
20,596 |
$755K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,939 |
4,890 |
$507K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,681 |
12,945 |
$495K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,212 |
3,184 |
$464K |
| A4335 |
Incontinence supply; miscellaneous |
26,499 |
26,245 |
$142K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
932 |
921 |
$126K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
953 |
943 |
$99K |
| E0570 |
Nebulizer, with compressor |
491 |
487 |
$50K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
434 |
431 |
$41K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
109 |
109 |
$12K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
24 |
24 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
489 |
484 |
$861.12 |
| A7015 |
Aerosol mask, used with dme nebulizer |
487 |
484 |
$582.11 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
98 |
97 |
$457.76 |
| A4259 |
Lancets, per box of 100 |
98 |
97 |
$45.10 |