| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
15,681 |
14,729 |
$1.04M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,015 |
5,629 |
$853K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,799 |
3,600 |
$674K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,491 |
3,325 |
$482K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,156 |
4,921 |
$248K |
| E0570 |
Nebulizer, with compressor |
1,930 |
1,757 |
$138K |
| A4927 |
Gloves, non-sterile, per 100 |
16,249 |
15,096 |
$124K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
434 |
417 |
$116K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
551 |
516 |
$66K |
| K0002 |
Standard hemi (low seat) wheelchair |
1,050 |
1,002 |
$60K |
| A4670 |
Automatic blood pressure monitor |
1,010 |
929 |
$59K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,891 |
1,729 |
$35K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
266 |
248 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
380 |
364 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
63 |
55 |
$5K |
| A7000 |
Canister, disposable, used with suction pump, each |
302 |
280 |
$4K |
| 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 |
82 |
37 |
$4K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
24 |
24 |
$4K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
36 |
34 |
$3K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
30 |
25 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,837 |
1,749 |
$2K |
| 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 |
50 |
25 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
216 |
214 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
296 |
275 |
$2K |
| A6534 |
Gradient compression stocking, thigh length, 30-40 mmhg, each |
37 |
36 |
$2K |
| A4284 |
Breast shield and splash protector for use with breast pump, replacement |
154 |
138 |
$2K |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
604 |
527 |
$1K |
| A4663 |
Blood pressure cuff only |
132 |
121 |
$1K |
| E0156 |
Seat attachment, walker |
29 |
23 |
$379.71 |
| A5120 |
Skin barrier, wipes or swabs, each |
25 |
25 |
$240.20 |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
19 |
17 |
$234.98 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
15 |
12 |
$194.53 |