| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
56,180 |
52,173 |
$3.53M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
19,650 |
18,566 |
$2.58M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
19,363 |
18,070 |
$2.50M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
40,726 |
37,928 |
$1.81M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
11,144 |
10,369 |
$1.80M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
4,986 |
4,708 |
$1.18M |
| E0240 |
Bath/shower chair, with or without wheels, any size |
5,966 |
5,550 |
$552K |
| A4927 |
Gloves, non-sterile, per 100 |
39,057 |
35,986 |
$528K |
| A4670 |
Automatic blood pressure monitor |
6,846 |
6,360 |
$373K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
4,006 |
3,653 |
$254K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,358 |
2,145 |
$219K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
866 |
692 |
$206K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,227 |
2,077 |
$199K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,400 |
1,292 |
$188K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,998 |
1,820 |
$183K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,141 |
1,005 |
$157K |
| K0001 |
Standard wheelchair |
2,232 |
1,974 |
$131K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,024 |
882 |
$107K |
| E0243 |
Toilet rail, each |
2,038 |
1,905 |
$103K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
4,182 |
3,697 |
$72K |
| K0002 |
Standard hemi (low seat) wheelchair |
760 |
730 |
$63K |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
172 |
152 |
$61K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
566 |
522 |
$51K |
| E0248 |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
124 |
120 |
$50K |
| E0156 |
Seat attachment, walker |
3,956 |
3,558 |
$49K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
1,600 |
1,516 |
$49K |
| E0570 |
Nebulizer, with compressor |
942 |
801 |
$40K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
656 |
619 |
$38K |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
4,614 |
4,033 |
$32K |
| E0244 |
Raised toilet seat |
1,636 |
1,536 |
$29K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
212 |
187 |
$25K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
140 |
132 |
$18K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
315 |
279 |
$16K |
| E0241 |
Bath tub wall rail, each |
589 |
568 |
$14K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
924 |
678 |
$14K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
253 |
159 |
$11K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
147 |
133 |
$11K |
| E0196 |
Gel pressure mattress |
139 |
131 |
$9K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
153 |
135 |
$8K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
52 |
43 |
$6K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
79 |
61 |
$6K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
29 |
27 |
$6K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
671 |
479 |
$5K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,676 |
3,217 |
$5K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
15 |
14 |
$4K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
287 |
260 |
$4K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
113 |
96 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
325 |
301 |
$3K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,958 |
1,644 |
$2K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
16 |
13 |
$849.39 |
| E0246 |
Transfer tub rail attachment |
14 |
12 |
$793.66 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
17 |
13 |
$405.96 |