| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,101 |
953 |
$256K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,818 |
1,589 |
$173K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,411 |
1,177 |
$135K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,748 |
2,383 |
$133K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,202 |
1,017 |
$96K |
| T4541 |
Incontinence product, disposable underpad, large, each |
828 |
743 |
$53K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
15 |
15 |
$4K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
200 |
174 |
$3K |
| K0001 |
Standard wheelchair |
480 |
404 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
108 |
99 |
$1K |
| E0570 |
Nebulizer, with compressor |
41 |
38 |
$850.93 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
75 |
67 |
$174.76 |