| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
7,439 |
7,372 |
$474K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,954 |
5,883 |
$429K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,328 |
3,294 |
$210K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,328 |
2,309 |
$195K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,105 |
2,073 |
$187K |
| K0001 |
Standard wheelchair |
2,669 |
2,658 |
$73K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
388 |
382 |
$25K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
174 |
174 |
$17K |
| A4927 |
Gloves, non-sterile, per 100 |
1,713 |
1,690 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
691 |
691 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
93 |
93 |
$5K |
| E0570 |
Nebulizer, with compressor |
95 |
95 |
$3K |
| E0156 |
Seat attachment, walker |
167 |
167 |
$2K |
| E0305 |
Bed side rails, half length |
113 |
113 |
$2K |
| E0245 |
Tub stool or bench |
12 |
12 |
$670.37 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
75 |
75 |
$569.73 |
| E0271 |
Mattress, innerspring |
24 |
24 |
$441.35 |