| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
541 |
521 |
$26K |
| A4670 |
Automatic blood pressure monitor |
370 |
338 |
$22K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
109 |
109 |
$12K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
55 |
55 |
$11K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
207 |
195 |
$9K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
43 |
41 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
206 |
200 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$1K |