| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
47,751 |
45,722 |
$2.72M |
| T4527 |
Adult size pull-on lg |
19,473 |
18,785 |
$1.95M |
| T4528 |
Adult size pull-on xl |
14,071 |
13,478 |
$1.63M |
| T4526 |
Adult size pull-on med |
16,486 |
15,928 |
$1.46M |
| T4541 |
Large disposable underpad |
37,862 |
35,864 |
$1.37M |
| T4537 |
Reusable underpad bed size |
6,429 |
6,406 |
$725K |
| T4543 |
Adult disp brief/diap abv xl |
4,204 |
3,990 |
$639K |
| T4544 |
Adlt disp und/pull on abv xl |
2,867 |
2,807 |
$537K |
| B4150 |
Ef complet w/intact nutrient |
3,290 |
3,150 |
$471K |
| S5165 |
Home modifications per serv |
2,748 |
2,744 |
$438K |
| T4525 |
Adult size pull-on sm |
4,086 |
3,954 |
$298K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,182 |
1,148 |
$277K |
| T1999 |
Noc retail items andsupplies |
1,556 |
1,489 |
$267K |
| B4154 |
Ef spec metabolic noninherit |
847 |
822 |
$224K |
| A4927 |
Non-sterile gloves |
10,009 |
9,648 |
$182K |
| E0240 |
Bath/shower chair |
2,228 |
2,228 |
$145K |
| T4524 |
Adult size brief/diaper xl |
871 |
806 |
$117K |
| T4523 |
Adult size brief/diaper lg |
889 |
855 |
$83K |
| T4540 |
Reusable underpad chair size |
696 |
692 |
$73K |
| E0570 |
Nebulizer with compression |
548 |
548 |
$61K |
| E1399 |
Durable medical equipment mi |
1,186 |
1,121 |
$58K |
| T4522 |
Adult size brief/diaper med |
573 |
543 |
$55K |
| A4335 |
Incontinence supply |
3,134 |
3,050 |
$42K |
| E0244 |
Toilet seat raised |
380 |
379 |
$41K |
| E0247 |
Trans bench w/wo comm open |
234 |
234 |
$37K |
| E0241 |
Bath tub wall rail |
127 |
127 |
$19K |
| A9281 |
Reaching/grabbing device |
238 |
232 |
$7K |
| E0246 |
Transfer tub rail attachment |
141 |
141 |
$7K |
| A4253 |
Blood glucose/reagent strips |
67 |
64 |
$175.09 |