| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
2,006 |
1,778 |
$85K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
433 |
410 |
$39K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
658 |
600 |
$33K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
304 |
285 |
$31K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
625 |
583 |
$27K |
| A4670 |
Automatic blood pressure monitor |
589 |
518 |
$26K |
| A4927 |
Gloves, non-sterile, per 100 |
947 |
889 |
$20K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
52 |
51 |
$6K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
37 |
36 |
$3K |
| E0570 |
Nebulizer, with compressor |
64 |
57 |
$3K |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
32 |
28 |
$1K |
| E0148 |
Walker, heavy duty, without wheels, rigid or folding, any type, each |
47 |
41 |
$926.40 |