| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
2,610 |
2,526 |
$146K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,955 |
1,887 |
$105K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,061 |
1,972 |
$102K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
440 |
410 |
$42K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,274 |
1,218 |
$19K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
74 |
70 |
$5K |
| K0001 |
Standard wheelchair |
13 |
12 |
$776.63 |