| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
102,680 |
91,781 |
$2.94M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
32,149 |
28,694 |
$2.22M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
32,846 |
29,316 |
$2.21M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
22,277 |
19,821 |
$1.83M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
17,577 |
15,866 |
$1.16M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
13,683 |
12,317 |
$1.13M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
45,956 |
40,970 |
$1.01M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
18,084 |
16,045 |
$931K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
11,773 |
10,487 |
$806K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
3,546 |
3,287 |
$524K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
5,910 |
5,264 |
$324K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
1,245 |
1,180 |
$261K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
1,215 |
1,156 |
$202K |
| A5120 |
Skin barrier, wipes or swabs, each |
16,348 |
15,241 |
$146K |
| A4612 |
Battery cables; replacement for patient-owned ventilator |
1,237 |
1,174 |
$81K |
| E2387 |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
803 |
773 |
$78K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,314 |
1,233 |
$73K |
| E0245 |
Tub stool or bench |
1,170 |
955 |
$69K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
275 |
249 |
$55K |
| A4670 |
Automatic blood pressure monitor |
1,125 |
970 |
$44K |
| K0815 |
Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds |
13 |
13 |
$43K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
149 |
131 |
$20K |
| E0982 |
Wheelchair accessory, back upholstery, replacement only, each |
243 |
223 |
$9K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
106 |
96 |
$8K |
| E0981 |
Wheelchair accessory, seat upholstery, replacement only, each |
219 |
203 |
$8K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
330 |
304 |
$8K |
| E0244 |
Raised toilet seat |
219 |
180 |
$8K |
| E0994 |
Arm rest, each |
210 |
193 |
$7K |
| K0042 |
Standard size footplate, replacement only, each |
106 |
102 |
$6K |
| K0019 |
Arm pad, replacement only, each |
201 |
184 |
$5K |
| 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 |
147 |
83 |
$5K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
16 |
13 |
$4K |
| E0570 |
Nebulizer, with compressor |
117 |
99 |
$4K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
90 |
50 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
68 |
54 |
$2K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
21 |
12 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
15 |
14 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
296 |
281 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
59 |
47 |
$1K |
| A4456 |
Adhesive remover, wipes, any type, each |
24 |
24 |
$277.31 |
| E0156 |
Seat attachment, walker |
60 |
56 |
$141.59 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
40 |
37 |
$15.78 |