| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
26,934 |
25,237 |
$2.02M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
14,274 |
13,351 |
$1.35M |
| T4541 |
Incontinence product, disposable underpad, large, each |
28,410 |
26,783 |
$1.32M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13,225 |
12,370 |
$1.25M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,690 |
6,256 |
$663K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
3,589 |
3,368 |
$323K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,161 |
1,080 |
$129K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
744 |
641 |
$126K |
| K0004 |
High strength, lightweight wheelchair |
2,069 |
1,940 |
$114K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
1,664 |
1,610 |
$108K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,772 |
1,623 |
$87K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
864 |
844 |
$87K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
676 |
655 |
$67K |
| E0570 |
Nebulizer, with compressor |
774 |
749 |
$61K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
515 |
468 |
$60K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
505 |
484 |
$56K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,314 |
1,080 |
$54K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
292 |
284 |
$39K |
| E0244 |
Raised toilet seat |
690 |
679 |
$37K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
265 |
262 |
$27K |
| E0241 |
Bath tub wall rail, each |
899 |
830 |
$26K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
233 |
223 |
$26K |
| K0001 |
Standard wheelchair |
991 |
888 |
$21K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
520 |
471 |
$17K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
927 |
864 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
355 |
331 |
$6K |
| E1399 |
Durable medical equipment, miscellaneous |
163 |
151 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
771 |
748 |
$2K |
| E0156 |
Seat attachment, walker |
134 |
122 |
$2K |
| E0243 |
Toilet rail, each |
12 |
12 |
$715.80 |
| E0246 |
Transfer tub rail attachment |
13 |
13 |
$585.13 |