| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,122 |
7,885 |
$873K |
| A4927 |
Gloves, non-sterile, per 100 |
38,133 |
36,690 |
$798K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
8,644 |
8,330 |
$787K |
| T4541 |
Incontinence product, disposable underpad, large, each |
12,163 |
11,794 |
$619K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,474 |
5,278 |
$600K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
9,907 |
9,627 |
$374K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,013 |
972 |
$326K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,443 |
1,400 |
$273K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,711 |
2,641 |
$266K |
| A4335 |
Incontinence supply; miscellaneous |
9,589 |
9,305 |
$259K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,948 |
1,892 |
$224K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,030 |
3,917 |
$175K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,197 |
1,164 |
$162K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,175 |
1,127 |
$110K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
6,209 |
5,842 |
$19K |
| E0570 |
Nebulizer, with compressor |
951 |
941 |
$19K |
| K0001 |
Standard wheelchair |
813 |
804 |
$14K |
| A4670 |
Automatic blood pressure monitor |
117 |
115 |
$7K |
| A4259 |
Lancets, per box of 100 |
2,461 |
2,435 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
60 |
60 |
$740.48 |
| E0156 |
Seat attachment, walker |
28 |
28 |
$326.99 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$306.05 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
945 |
927 |
$128.26 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
104 |
92 |
$50.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
54 |
50 |
$20.53 |