| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
8,631 |
6,894 |
$538K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,488 |
2,730 |
$439K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
7,874 |
5,376 |
$415K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,967 |
2,325 |
$376K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
3,440 |
2,455 |
$343K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,077 |
1,680 |
$259K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,969 |
1,472 |
$206K |
| A4927 |
Gloves, non-sterile, per 100 |
17,262 |
9,577 |
$200K |
| E0245 |
Tub stool or bench |
3,038 |
2,229 |
$165K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,817 |
1,385 |
$149K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,112 |
893 |
$133K |
| E0241 |
Bath tub wall rail, each |
2,165 |
1,568 |
$131K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
7,099 |
4,928 |
$107K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
1,948 |
1,427 |
$99K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
1,525 |
1,078 |
$98K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
6,180 |
4,324 |
$98K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
369 |
315 |
$76K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
5,611 |
3,958 |
$71K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
3,524 |
2,504 |
$64K |
| K0001 |
Standard wheelchair |
12,678 |
9,782 |
$62K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
277 |
237 |
$57K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13,479 |
10,006 |
$55K |
| A9281 |
Reaching/grabbing device, any type, any length, each |
1,192 |
931 |
$55K |
| E0244 |
Raised toilet seat |
1,440 |
1,057 |
$54K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
1,615 |
1,117 |
$23K |
| K0007 |
Extra heavy duty wheelchair |
924 |
605 |
$19K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
389 |
259 |
$15K |
| E0156 |
Seat attachment, walker |
2,198 |
1,474 |
$14K |
| K0006 |
Heavy duty wheelchair |
818 |
599 |
$13K |
| E0248 |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
95 |
63 |
$12K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
677 |
437 |
$12K |
| E0570 |
Nebulizer, with compressor |
790 |
536 |
$12K |
| E0277 |
Powered pressure-reducing air mattress |
225 |
194 |
$12K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
628 |
545 |
$8K |
| K0002 |
Standard hemi (low seat) wheelchair |
1,126 |
858 |
$8K |
| E0243 |
Toilet rail, each |
137 |
88 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
293 |
244 |
$3K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
35 |
24 |
$2K |
| K0003 |
Lightweight wheelchair |
693 |
338 |
$2K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
204 |
161 |
$2K |
| A4670 |
Automatic blood pressure monitor |
31 |
27 |
$2K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
153 |
124 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
74 |
52 |
$894.64 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
387 |
216 |
$852.31 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
186 |
120 |
$392.86 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
32 |
26 |
$333.13 |