You can't set page size and page number query parameters.
The endpoint shows the last 50 contacts added to the list.
To get all contacts in one list or overall, use the /v3/contactdb/exports endpoints.
This new feature will be rolled out by SendGrid between May 12 and June 30, 2025 according to email received on March 10 2025.
This new feature is documented here: https://www.twilio.com/docs/sendgrid/ui/sending-email/update-to-legacy-api-2025q1#updates-to-the-lists-resources
In fact, we should probably rename this method to GetFirst50RecipientsAsync to make it clear that the API will return no more than 50 records.