| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
68,049 |
67,975 |
$3.59M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
47,039 |
46,943 |
$2.42M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
18,949 |
18,939 |
$1.33M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
18,089 |
18,077 |
$1.06M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
11,284 |
11,275 |
$779K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
8,989 |
8,984 |
$717K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
9,428 |
9,424 |
$696K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
5,241 |
5,235 |
$298K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
35,927 |
35,896 |
$291K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,185 |
3,181 |
$260K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,577 |
3,558 |
$210K |
| A4335 |
Incontinence supply; miscellaneous |
36,595 |
36,525 |
$186K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
3,054 |
3,050 |
$166K |
| E0277 |
Powered pressure-reducing air mattress |
2,955 |
2,206 |
$122K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
9,424 |
9,412 |
$111K |
| K0003 |
Lightweight wheelchair |
4,510 |
4,445 |
$111K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,000 |
3,945 |
$78K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
3,032 |
3,030 |
$76K |
| E0245 |
Tub stool or bench |
706 |
705 |
$38K |
| E0635 |
Patient lift, electric with seat or sling |
1,061 |
1,059 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,186 |
3,174 |
$33K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
558 |
554 |
$31K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
942 |
909 |
$18K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
97 |
97 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
245 |
241 |
$12K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
96 |
96 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
72 |
65 |
$4K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
97 |
97 |
$3K |
| E0305 |
Bed side rails, half length |
89 |
89 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
13 |
13 |
$1K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
222 |
209 |
$948.19 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
28 |
27 |
$639.17 |
| A4456 |
Adhesive remover, wipes, any type, each |
69 |
69 |
$621.20 |
| A4927 |
Gloves, non-sterile, per 100 |
209 |
206 |
$518.50 |
| K0001 |
Standard wheelchair |
14 |
14 |
$429.38 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
37 |
37 |
$290.06 |
| E0601 |
Continuous positive airway pressure (cpap) device |
79 |
79 |
$159.48 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
41 |
41 |
$154.72 |
| E0570 |
Nebulizer, with compressor |
14 |
14 |
$11.48 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$0.00 |