| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,717 |
1,603 |
$102K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
570 |
539 |
$68K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
605 |
598 |
$60K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
424 |
392 |
$55K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,489 |
1,408 |
$55K |
| E0570 |
Nebulizer, with compressor |
685 |
675 |
$54K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
249 |
232 |
$29K |
| K0002 |
Standard hemi (low seat) wheelchair |
260 |
260 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
317 |
316 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
120 |
119 |
$2K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
14 |
13 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
156 |
156 |
$528.44 |
| A7015 |
Aerosol mask, used with dme nebulizer |
291 |
291 |
$435.57 |