| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
49,936 |
49,703 |
$3.24M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
45,701 |
45,482 |
$2.89M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
20,249 |
20,176 |
$2.40M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
16,144 |
16,087 |
$1.56M |
| A4927 |
Gloves, non-sterile, per 100 |
55,002 |
54,619 |
$1.17M |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
58,234 |
57,966 |
$1.16M |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
43,149 |
42,832 |
$776K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,285 |
5,252 |
$697K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
2,793 |
2,158 |
$639K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
4,738 |
4,725 |
$459K |
| A4335 |
Incontinence supply; miscellaneous |
32,992 |
32,846 |
$409K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
33,540 |
33,382 |
$386K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
5,363 |
5,278 |
$281K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,942 |
1,933 |
$263K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,365 |
1,361 |
$184K |
| K0003 |
Lightweight wheelchair |
3,040 |
3,019 |
$175K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
2,838 |
2,822 |
$160K |
| E0245 |
Tub stool or bench |
2,076 |
2,075 |
$129K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,447 |
2,430 |
$93K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
860 |
856 |
$89K |
| K0001 |
Standard wheelchair |
2,383 |
2,370 |
$61K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
6,273 |
6,257 |
$51K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,193 |
1,191 |
$42K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
292 |
290 |
$34K |
| K0002 |
Standard hemi (low seat) wheelchair |
603 |
598 |
$29K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
643 |
633 |
$27K |
| E0305 |
Bed side rails, half length |
2,825 |
2,805 |
$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 |
394 |
274 |
$18K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
474 |
424 |
$17K |
| E0277 |
Powered pressure-reducing air mattress |
126 |
125 |
$16K |
| E0156 |
Seat attachment, walker |
1,033 |
1,028 |
$12K |
| 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 |
380 |
265 |
$11K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
453 |
402 |
$10K |
| A4670 |
Automatic blood pressure monitor |
273 |
273 |
$10K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
449 |
399 |
$7K |
| L1831 |
Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment |
47 |
31 |
$7K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
284 |
283 |
$6K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
403 |
401 |
$6K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
52 |
52 |
$5K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
453 |
453 |
$5K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
26 |
26 |
$4K |
| E0570 |
Nebulizer, with compressor |
40 |
40 |
$2K |
| E0241 |
Bath tub wall rail, each |
38 |
38 |
$1K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
12 |
12 |
$1K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
210 |
210 |
$948.51 |
| E0271 |
Mattress, innerspring |
14 |
14 |
$883.14 |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
39 |
39 |
$831.32 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
572 |
572 |
$628.58 |
| A7015 |
Aerosol mask, used with dme nebulizer |
577 |
575 |
$569.38 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
396 |
394 |
$331.56 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
24 |
24 |
$117.84 |