| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
61,546 |
61,448 |
$2.78M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
32,862 |
32,806 |
$1.76M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
38,490 |
38,422 |
$1.50M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
24,344 |
24,311 |
$1.06M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
8,263 |
8,252 |
$467K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,527 |
9,518 |
$458K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
15,913 |
15,879 |
$403K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
4,221 |
4,218 |
$92K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,238 |
1,236 |
$66K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,466 |
1,464 |
$62K |
| E0245 |
Tub stool or bench |
768 |
767 |
$33K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
296 |
296 |
$27K |
| K0001 |
Standard wheelchair |
1,031 |
1,030 |
$15K |
| E0241 |
Bath tub wall rail, each |
102 |
102 |
$4K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
859 |
858 |
$2K |
| A4670 |
Automatic blood pressure monitor |
30 |
29 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
889 |
889 |
$2K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
73 |
73 |
$959.03 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$719.25 |
| A4335 |
Incontinence supply; miscellaneous |
900 |
898 |
$566.20 |
| E0246 |
Transfer tub rail attachment |
12 |
12 |
$459.20 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
767 |
766 |
$179.10 |
| E0305 |
Bed side rails, half length |
72 |
72 |
$151.58 |
| E0271 |
Mattress, innerspring |
25 |
25 |
$101.80 |