| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
10,204 |
10,013 |
$28K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
9,673 |
9,599 |
$21K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,920 |
5,811 |
$18K |
| E0570 |
Nebulizer, with compressor |
406 |
386 |
$14K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,112 |
3,070 |
$11K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,170 |
3,125 |
$11K |
| K0001 |
Standard wheelchair |
646 |
634 |
$9K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
529 |
523 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,619 |
2,571 |
$3K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
90 |
68 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
403 |
383 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,199 |
1,193 |
$2K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,617 |
1,605 |
$2K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
238 |
236 |
$1K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
288 |
287 |
$1K |
| E0245 |
Tub stool or bench |
810 |
802 |
$1K |
| E0156 |
Seat attachment, walker |
628 |
623 |
$501.25 |
| 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 |
91 |
80 |
$464.49 |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
284 |
281 |
$313.72 |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
12 |
12 |
$160.30 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
17 |
17 |
$159.30 |
| 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 |
56 |
51 |
$155.21 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
29 |
29 |
$135.36 |
| A4335 |
Incontinence supply; miscellaneous |
69 |
69 |
$115.68 |
| A7015 |
Aerosol mask, used with dme nebulizer |
343 |
323 |
$110.48 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
100 |
69 |
$107.50 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
13 |
13 |
$81.45 |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
43 |
43 |
$0.00 |