| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
1,717 |
1,603 |
$102K |
| T4527 |
Adult size pull-on lg |
570 |
539 |
$68K |
| E0118 |
Crutch substitute |
605 |
598 |
$60K |
| T4528 |
Adult size pull-on xl |
424 |
392 |
$55K |
| T4541 |
Large disposable underpad |
1,489 |
1,408 |
$55K |
| E0570 |
Nebulizer with compression |
685 |
675 |
$54K |
| T4526 |
Adult size pull-on med |
249 |
232 |
$29K |
| K0002 |
Stnd hemi (low seat) whlchr |
260 |
260 |
$14K |
| A7005 |
Nondisposable nebulizer set |
317 |
316 |
$5K |
| K0195 |
Elevating whlchair leg rests |
120 |
119 |
$2K |
| T4537 |
Reusable underpad bed size |
14 |
13 |
$1K |
| A7003 |
Nebulizer administration set |
156 |
156 |
$528.44 |
| A7015 |
Aerosol mask used w nebulize |
291 |
291 |
$435.57 |