| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
92 |
71 |
$6K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
23 |
14 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
107 |
87 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
22 |
17 |
$869.79 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$237.04 |
| E0156 |
Seat attachment, walker |
20 |
15 |
$195.24 |
| A5120 |
Skin barrier, wipes or swabs, each |
59 |
26 |
$86.87 |