| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
33,618 |
32,734 |
$2.26M |
| T4527 |
Adult size pull-on lg |
11,160 |
10,870 |
$1.58M |
| T4535 |
Disposable liner/shield/pad |
31,866 |
31,038 |
$1.52M |
| T4526 |
Adult size pull-on med |
10,276 |
10,044 |
$1.46M |
| T4528 |
Adult size pull-on xl |
8,144 |
7,941 |
$1.43M |
| T4543 |
Adult disp brief/diap abv xl |
4,561 |
4,438 |
$1.22M |
| A4927 |
Non-sterile gloves |
33,234 |
32,244 |
$474K |
| E0240 |
Bath/shower chair |
1,313 |
1,240 |
$126K |
| A4670 |
Automatic bp monitor, dial |
1,196 |
1,169 |
$70K |
| E0246 |
Transfer tub rail attachment |
1,060 |
1,003 |
$55K |
| K0003 |
Lightweight wheelchair |
1,131 |
1,081 |
$46K |
| E0143 |
Walker folding wheeled w/o s |
597 |
561 |
$29K |
| A6530 |
Compression stocking bk18-30 |
266 |
260 |
$16K |
| B4150 |
Ef complet w/intact nutrient |
175 |
175 |
$16K |
| A5120 |
Skin barrier, wipe or swab |
999 |
945 |
$10K |
| E0243 |
Toilet rail |
144 |
138 |
$7K |
| E0156 |
Walker seat attachment |
580 |
542 |
$6K |
| T4523 |
Adult size brief/diaper lg |
45 |
45 |
$5K |
| K0002 |
Stnd hemi (low seat) whlchr |
78 |
76 |
$2K |
| A4595 |
Tens suppl 2 lead per month |
57 |
54 |
$2K |
| E0244 |
Toilet seat raised |
94 |
88 |
$2K |
| E0210 |
Electric heat pad standard |
117 |
105 |
$2K |
| E0105 |
Cane adjust/fixed quad/3 pro |
12 |
12 |
$491.66 |
| K0001 |
Standard wheelchair |
38 |
38 |
$251.42 |