| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,952 |
1,631 |
$70K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
522 |
429 |
$52K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,021 |
861 |
$45K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
353 |
319 |
$43K |
| A4927 |
Gloves, non-sterile, per 100 |
1,970 |
1,694 |
$40K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
247 |
209 |
$23K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
248 |
187 |
$19K |
| A4553 |
Non-disposable underpads, all sizes |
592 |
488 |
$7K |
| K0001 |
Standard wheelchair |
241 |
208 |
$2K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
47 |
13 |
$1K |