| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
17,941 |
17,428 |
$1.15M |
| T4527 |
Adult size pull-on lg |
6,078 |
5,945 |
$736K |
| T4535 |
Disposable liner/shield/pad |
13,339 |
12,968 |
$592K |
| T4526 |
Adult size pull-on med |
4,445 |
4,349 |
$538K |
| T4528 |
Adult size pull-on xl |
3,247 |
3,188 |
$500K |
| K0003 |
Lightweight wheelchair |
6,733 |
6,285 |
$275K |
| E1390 |
Oxygen concentrator |
2,839 |
2,558 |
$274K |
| T4544 |
Adlt disp und/pull on abv xl |
1,102 |
1,060 |
$242K |
| A4927 |
Non-sterile gloves |
14,744 |
14,296 |
$169K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,386 |
3,179 |
$124K |
| E0240 |
Bath/shower chair |
1,239 |
1,183 |
$116K |
| T4522 |
Adult size brief/diaper med |
1,140 |
1,079 |
$103K |
| T4523 |
Adult size brief/diaper lg |
651 |
635 |
$71K |
| T4525 |
Adult size pull-on sm |
650 |
628 |
$65K |
| E0431 |
Portable gaseous 02 |
2,613 |
2,319 |
$47K |
| E2611 |
Gen use back cush wdth <22in |
332 |
305 |
$43K |
| E0143 |
Walker folding wheeled w/o s |
667 |
628 |
$43K |
| A4670 |
Automatic bp monitor, dial |
677 |
657 |
$38K |
| E0971 |
Wheelchair anti-tipping devi |
685 |
616 |
$31K |
| T4524 |
Adult size brief/diaper xl |
234 |
225 |
$31K |
| E0163 |
Commode chair with fixed arm |
455 |
431 |
$28K |
| E0601 |
Cont airway pressure device |
493 |
463 |
$28K |
| E0247 |
Trans bench w/wo comm open |
272 |
260 |
$25K |
| E2601 |
Gen w/c cushion wdth < 22 in |
454 |
409 |
$19K |
| E0630 |
Patient lift hydraulic |
415 |
412 |
$15K |
| E0978 |
W/c acc,saf belt pelv strap |
683 |
614 |
$14K |
| E0181 |
Press pad alternating w/ pum |
1,405 |
1,382 |
$12K |
| E0562 |
Humidifier heated used w pap |
599 |
542 |
$12K |
| E0277 |
Powered pres-redu air mattrs |
47 |
38 |
$9K |
| B4150 |
Ef complet w/intact nutrient |
56 |
50 |
$9K |
| E0443 |
Portable 02 contents, gas |
157 |
131 |
$9K |
| E0973 |
W/ch access det adj armrest |
134 |
129 |
$9K |
| E0570 |
Nebulizer with compression |
84 |
79 |
$6K |
| E0149 |
Heavy duty wheeled walker |
84 |
69 |
$3K |
| E0156 |
Walker seat attachment |
229 |
216 |
$2K |
| E0951 |
Loop heel |
127 |
126 |
$2K |
| K0195 |
Elevating whlchair leg rests |
378 |
378 |
$919.46 |
| A4663 |
Dialysis blood pressure cuff |
34 |
34 |
$355.58 |
| E0910 |
Trapeze bar attached to bed |
37 |
37 |
$309.30 |