| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
742 |
739 |
$28K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
46 |
46 |
$7K |
| E0570 |
Nebulizer, with compressor |
44 |
41 |
$5K |
| A4335 |
Incontinence supply; miscellaneous |
826 |
822 |
$5K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
25 |
25 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
61 |
57 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
61 |
57 |
$76.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
47 |
43 |
$11.76 |