| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,418 |
4,369 |
$506K |
| A4554 |
Disposable underpads, all sizes |
13,336 |
13,124 |
$454K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,636 |
3,588 |
$334K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
7,015 |
6,923 |
$237K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,651 |
1,614 |
$227K |
| E0570 |
Nebulizer, with compressor |
1,469 |
1,420 |
$115K |
| A4335 |
Incontinence supply; miscellaneous |
15,864 |
15,632 |
$82K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
244 |
238 |
$25K |
| A4670 |
Automatic blood pressure monitor |
253 |
247 |
$14K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,268 |
1,233 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,291 |
1,255 |
$1K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
13 |
13 |
$1K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
237 |
235 |
$893.83 |
| A4927 |
Gloves, non-sterile, per 100 |
24 |
24 |
$162.58 |
| A4259 |
Lancets, per box of 100 |
184 |
182 |
$58.79 |
| 91303 |
|
64 |
64 |
$0.00 |
| 0012A |
|
37 |
37 |
$0.00 |
| 0011A |
|
40 |
40 |
$0.00 |
| 90688 |
|
37 |
37 |
$0.00 |
| 0031A |
|
77 |
77 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 0064A |
|
105 |
105 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |