| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
33,618 |
32,734 |
$2.26M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,160 |
10,870 |
$1.58M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
31,866 |
31,038 |
$1.52M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
10,276 |
10,044 |
$1.46M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
8,144 |
7,941 |
$1.43M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
4,561 |
4,438 |
$1.22M |
| A4927 |
Gloves, non-sterile, per 100 |
33,234 |
32,244 |
$474K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
1,313 |
1,240 |
$126K |
| A4670 |
Automatic blood pressure monitor |
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, adjustable or fixed height |
597 |
561 |
$29K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
266 |
260 |
$16K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
175 |
175 |
$16K |
| A5120 |
Skin barrier, wipes or swabs, each |
999 |
945 |
$10K |
| E0243 |
Toilet rail, each |
144 |
138 |
$7K |
| E0156 |
Seat attachment, walker |
580 |
542 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
45 |
45 |
$5K |
| K0002 |
Standard hemi (low seat) wheelchair |
78 |
76 |
$2K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
57 |
54 |
$2K |
| E0244 |
Raised toilet seat |
94 |
88 |
$2K |
| E0210 |
Electric heat pad, standard |
117 |
105 |
$2K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
12 |
12 |
$491.66 |
| K0001 |
Standard wheelchair |
38 |
38 |
$251.42 |