| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,616 |
4,482 |
$709K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,083 |
2,974 |
$573K |
| A4554 |
Disposable underpads, all sizes |
11,021 |
10,699 |
$360K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,272 |
1,250 |
$329K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,966 |
1,912 |
$259K |
| A4335 |
Incontinence supply; miscellaneous |
11,613 |
11,176 |
$52K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
108 |
101 |
$17K |
| K0001 |
Standard wheelchair |
41 |
41 |
$2K |