| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
8,631 |
6,894 |
$538K |
| T4526 |
Adult size pull-on med |
3,488 |
2,730 |
$439K |
| T4535 |
Disposable liner/shield/pad |
7,874 |
5,376 |
$415K |
| T4527 |
Adult size pull-on lg |
2,967 |
2,325 |
$376K |
| E0247 |
Trans bench w/wo comm open |
3,440 |
2,455 |
$343K |
| T4528 |
Adult size pull-on xl |
2,077 |
1,680 |
$259K |
| T4523 |
Adult size brief/diaper lg |
1,969 |
1,472 |
$206K |
| A4927 |
Non-sterile gloves |
17,262 |
9,577 |
$200K |
| E0245 |
Tub stool or bench |
3,038 |
2,229 |
$165K |
| T4522 |
Adult size brief/diaper med |
1,817 |
1,385 |
$149K |
| T4524 |
Adult size brief/diaper xl |
1,112 |
893 |
$133K |
| E0241 |
Bath tub wall rail |
2,165 |
1,568 |
$131K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,099 |
4,928 |
$107K |
| T4542 |
Small disposable underpad |
1,948 |
1,427 |
$99K |
| E2611 |
Gen use back cush wdth <22in |
1,525 |
1,078 |
$98K |
| E0143 |
Walker folding wheeled w/o s |
6,180 |
4,324 |
$98K |
| T4543 |
Adult disp brief/diap abv xl |
369 |
315 |
$76K |
| E0630 |
Patient lift hydraulic |
5,611 |
3,958 |
$71K |
| E0163 |
Commode chair with fixed arm |
3,524 |
2,504 |
$64K |
| K0001 |
Standard wheelchair |
12,678 |
9,782 |
$62K |
| T4544 |
Adlt disp und/pull on abv xl |
277 |
237 |
$57K |
| K0195 |
Elevating whlchair leg rests |
13,479 |
10,006 |
$55K |
| A9281 |
Reaching/grabbing device |
1,192 |
931 |
$55K |
| E0244 |
Toilet seat raised |
1,440 |
1,057 |
$54K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,615 |
1,117 |
$23K |
| K0007 |
Extra heavy duty wheelchair |
924 |
605 |
$19K |
| E0185 |
Gel pressure mattress pad |
389 |
259 |
$15K |
| E0156 |
Walker seat attachment |
2,198 |
1,474 |
$14K |
| K0006 |
Heavy duty wheelchair |
818 |
599 |
$13K |
| E0248 |
Hdtrans bench w/wo comm open |
95 |
63 |
$12K |
| E0261 |
Hosp bed semi-electr w/o mat |
677 |
437 |
$12K |
| E0570 |
Nebulizer with compression |
790 |
536 |
$12K |
| E0277 |
Powered pres-redu air mattrs |
225 |
194 |
$12K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
628 |
545 |
$8K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,126 |
858 |
$8K |
| E0243 |
Toilet rail |
137 |
88 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
293 |
244 |
$3K |
| A6530 |
Compression stocking bk18-30 |
35 |
24 |
$2K |
| K0003 |
Lightweight wheelchair |
693 |
338 |
$2K |
| E0165 |
Commode chair with detacharm |
204 |
161 |
$2K |
| A4670 |
Automatic bp monitor, dial |
31 |
27 |
$2K |
| T4525 |
Adult size pull-on sm |
12 |
12 |
$1K |
| E0181 |
Press pad alternating w/ pum |
153 |
124 |
$1K |
| E0149 |
Heavy duty wheeled walker |
74 |
52 |
$894.64 |
| E0951 |
Loop heel |
387 |
216 |
$852.31 |
| E0978 |
W/c acc,saf belt pelv strap |
186 |
120 |
$392.86 |
| E0100 |
Cane adjust/fixed with tip |
32 |
26 |
$333.13 |