| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
15,681 |
14,729 |
$1.04M |
| T4527 |
Adult size pull-on lg |
6,015 |
5,629 |
$853K |
| T4528 |
Adult size pull-on xl |
3,799 |
3,600 |
$674K |
| T4526 |
Adult size pull-on med |
3,491 |
3,325 |
$482K |
| T4535 |
Disposable liner/shield/pad |
5,156 |
4,921 |
$248K |
| E0570 |
Nebulizer with compression |
1,930 |
1,757 |
$138K |
| A4927 |
Non-sterile gloves |
16,249 |
15,096 |
$124K |
| T4544 |
Adlt disp und/pull on abv xl |
434 |
417 |
$116K |
| T4523 |
Adult size brief/diaper lg |
551 |
516 |
$66K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,050 |
1,002 |
$60K |
| A4670 |
Automatic bp monitor, dial |
1,010 |
929 |
$59K |
| A7005 |
Nondisposable nebulizer set |
1,891 |
1,729 |
$35K |
| E0603 |
Electric breast pump |
266 |
248 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
380 |
364 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
63 |
55 |
$5K |
| A7000 |
Disposable canister for pump |
302 |
280 |
$4K |
| A5500 |
Diab shoe for density insert |
82 |
37 |
$4K |
| T4524 |
Adult size brief/diaper xl |
24 |
24 |
$4K |
| E0240 |
Bath/shower chair |
36 |
34 |
$3K |
| T4522 |
Adult size brief/diaper med |
30 |
25 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,837 |
1,749 |
$2K |
| A5512 |
Multi den insert direct form |
50 |
25 |
$2K |
| E0149 |
Heavy duty wheeled walker |
216 |
214 |
$2K |
| A7002 |
Tubing used w suction pump |
296 |
275 |
$2K |
| A6534 |
Gc stocking thighlngth 30-40 |
37 |
36 |
$2K |
| A4284 |
Replcmnt breast pump shield |
154 |
138 |
$2K |
| A7014 |
Compressor nondispos filter |
604 |
527 |
$1K |
| A4663 |
Dialysis blood pressure cuff |
132 |
121 |
$1K |
| E0156 |
Walker seat attachment |
29 |
23 |
$379.71 |
| A5120 |
Skin barrier, wipe or swab |
25 |
25 |
$240.20 |
| E0159 |
Brake for wheeled walker |
19 |
17 |
$234.98 |
| E0951 |
Loop heel |
15 |
12 |
$194.53 |