| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
1,919 |
1,871 |
$83K |
| E0570 |
Nebulizer with compression |
1,228 |
1,200 |
$61K |
| T4527 |
Adult size pull-on lg |
415 |
368 |
$56K |
| A4335 |
Incontinence supply |
1,506 |
1,443 |
$48K |
| A4927 |
Non-sterile gloves |
628 |
548 |
$33K |
| T4523 |
Adult size brief/diaper lg |
141 |
112 |
$20K |
| T4535 |
Disposable liner/shield/pad |
234 |
220 |
$14K |
| T4528 |
Adult size pull-on xl |
89 |
82 |
$11K |
| T4537 |
Reusable underpad bed size |
272 |
268 |
$8K |
| E0601 |
Cont airway pressure device |
133 |
133 |
$7K |
| A7003 |
Nebulizer administration set |
1,086 |
1,081 |
$4K |
| B4152 |
Ef calorie dense>/=1.5kcal |
16 |
13 |
$3K |
| K0001 |
Standard wheelchair |
194 |
152 |
$2K |
| T4526 |
Adult size pull-on med |
17 |
13 |
$2K |
| E0562 |
Humidifier heated used w pap |
106 |
106 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
368 |
358 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
22 |
12 |
$477.46 |
| A4253 |
Blood glucose/reagent strips |
25 |
24 |
$99.85 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
13 |
$28.00 |