| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
35,907 |
35,853 |
$2.51M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
11,547 |
11,542 |
$1.68M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12,739 |
12,719 |
$1.65M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
8,449 |
8,437 |
$1.47M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
26,357 |
26,318 |
$1.27M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
2,596 |
2,590 |
$684K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,420 |
1,420 |
$212K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,725 |
1,724 |
$190K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
1,772 |
1,769 |
$181K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,288 |
1,277 |
$133K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
292 |
292 |
$78K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
711 |
711 |
$76K |
| A4670 |
Automatic blood pressure monitor |
1,231 |
1,227 |
$75K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
902 |
729 |
$25K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
902 |
729 |
$23K |
| E0607 |
Home blood glucose monitor |
821 |
821 |
$15K |
| A4927 |
Gloves, non-sterile, per 100 |
819 |
818 |
$13K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
33 |
33 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
851 |
851 |
$3K |
| E0246 |
Transfer tub rail attachment |
49 |
49 |
$3K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
80 |
80 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
42 |
42 |
$379.69 |
| A4258 |
Spring-powered device for lancet, each |
581 |
581 |
$275.80 |
| A4259 |
Lancets, per box of 100 |
862 |
862 |
$267.47 |