| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
252 |
237 |
$8K |
| E0244 |
Raised toilet seat |
71 |
69 |
$7K |
| X1939 |
|
52 |
50 |
$3K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
40 |
37 |
$2K |
| T5999 |
Supply, not otherwise specified |
369 |
364 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
19 |
17 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
43 |
41 |
$1K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13 |
12 |
$894.40 |