| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Special med equip, noswaiver |
53,172 |
35,989 |
$4.92M |
| T4541 |
Large disposable underpad |
36,946 |
35,041 |
$1.34M |
| T4527 |
Adult size pull-on lg |
12,760 |
12,052 |
$1.31M |
| T4528 |
Adult size pull-on xl |
11,232 |
10,717 |
$1.29M |
| T4526 |
Adult size pull-on med |
11,895 |
11,159 |
$1.18M |
| T4543 |
Adult disp brief/diap abv xl |
3,956 |
3,786 |
$885K |
| T4535 |
Disposable liner/shield/pad |
17,597 |
16,709 |
$834K |
| A4927 |
Non-sterile gloves |
49,677 |
46,942 |
$738K |
| B4150 |
Ef complet w/intact nutrient |
8,049 |
7,441 |
$593K |
| T4522 |
Adult size brief/diaper med |
3,447 |
3,249 |
$335K |
| T4521 |
Adult size brief/diaper sm |
3,657 |
3,515 |
$302K |
| T4524 |
Adult size brief/diaper xl |
2,559 |
2,441 |
$298K |
| T4537 |
Reusable underpad bed size |
2,389 |
2,285 |
$247K |
| T1999 |
Noc retail items andsupplies |
3,896 |
2,078 |
$240K |
| T4523 |
Adult size brief/diaper lg |
1,927 |
1,827 |
$214K |
| B4154 |
Ef spec metabolic noninherit |
1,889 |
1,730 |
$213K |
| T4525 |
Adult size pull-on sm |
1,240 |
1,155 |
$112K |
| T4534 |
Youth size pull-on |
996 |
925 |
$76K |
| E0245 |
Tub stool or bench |
1,851 |
1,779 |
$60K |
| T4540 |
Reusable underpad chair size |
1,196 |
1,123 |
$60K |
| A4670 |
Automatic bp monitor, dial |
1,353 |
1,299 |
$52K |
| B4152 |
Ef calorie dense>/=1.5kcal |
361 |
331 |
$40K |
| E0260 |
Hosp bed semi-electr w/ matt |
324 |
302 |
$28K |
| E0244 |
Toilet seat raised |
589 |
573 |
$25K |
| E0143 |
Walker folding wheeled w/o s |
895 |
838 |
$21K |
| K0001 |
Standard wheelchair |
426 |
414 |
$20K |
| E0570 |
Nebulizer with compression |
358 |
342 |
$11K |
| A4351 |
Straight tip urine catheter |
112 |
110 |
$7K |
| E0247 |
Trans bench w/wo comm open |
73 |
73 |
$6K |
| A4357 |
Bedside drainage bag |
841 |
752 |
$5K |
| E0156 |
Walker seat attachment |
355 |
329 |
$2K |
| A4253 |
Blood glucose/reagent strips |
334 |
315 |
$1K |
| E0159 |
Brake for wheeled walker |
32 |
32 |
$231.67 |