| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
26,705 |
26,585 |
$1.45M |
| T4526 |
Adult size pull-on med |
18,664 |
18,590 |
$1.07M |
| T4535 |
Disposable liner/shield/pad |
12,947 |
12,897 |
$845K |
| T4527 |
Adult size pull-on lg |
8,619 |
8,576 |
$597K |
| T4523 |
Adult size brief/diaper lg |
2,311 |
2,304 |
$181K |
| T4522 |
Adult size brief/diaper med |
2,424 |
2,411 |
$177K |
| T4525 |
Adult size pull-on sm |
1,931 |
1,925 |
$99K |
| T4528 |
Adult size pull-on xl |
1,380 |
1,375 |
$97K |
| E0245 |
Tub stool or bench |
1,118 |
1,118 |
$59K |
| T4524 |
Adult size brief/diaper xl |
513 |
507 |
$38K |
| K0003 |
Lightweight wheelchair |
701 |
694 |
$33K |
| T4537 |
Reusable underpad bed size |
546 |
546 |
$17K |
| E0601 |
Cont airway pressure device |
44 |
43 |
$6K |
| E0570 |
Nebulizer with compression |
29 |
29 |
$3K |
| E0562 |
Humidifier heated used w pap |
43 |
42 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
91 |
88 |
$2K |
| E0973 |
W/ch access det adj armrest |
29 |
24 |
$1K |
| A7005 |
Nondisposable nebulizer set |
28 |
28 |
$453.82 |
| E0156 |
Walker seat attachment |
73 |
71 |
$311.74 |
| A7015 |
Aerosol mask used w nebulize |
16 |
16 |
$16.02 |