| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
3,701 |
3,343 |
$1.73M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,694 |
1,544 |
$176K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,540 |
3,438 |
$142K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,127 |
1,084 |
$128K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,417 |
1,361 |
$116K |
| E1399 |
Durable medical equipment, miscellaneous |
458 |
404 |
$109K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
881 |
832 |
$83K |
| A4927 |
Gloves, non-sterile, per 100 |
1,588 |
1,574 |
$46K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
631 |
622 |
$32K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
205 |
200 |
$21K |
| K0001 |
Standard wheelchair |
531 |
526 |
$13K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
57 |
52 |
$11K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
144 |
72 |
$11K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
144 |
72 |
$9K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
26 |
24 |
$8K |
| E0570 |
Nebulizer, with compressor |
65 |
65 |
$2K |