| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
7,298 |
7,265 |
$491K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,746 |
2,739 |
$387K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,694 |
5,661 |
$273K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,666 |
1,663 |
$225K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,195 |
1,192 |
$210K |
| A4927 |
Gloves, non-sterile, per 100 |
5,145 |
5,095 |
$74K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
634 |
631 |
$64K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,940 |
3,842 |
$60K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,359 |
2,317 |
$45K |
| K0001 |
Standard wheelchair |
5,612 |
5,413 |
$40K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
90 |
89 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
945 |
917 |
$23K |
| A4670 |
Automatic blood pressure monitor |
344 |
341 |
$21K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
1,390 |
1,350 |
$21K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
4,661 |
4,516 |
$11K |
| K0003 |
Lightweight wheelchair |
1,111 |
1,079 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
629 |
593 |
$10K |
| E0156 |
Seat attachment, walker |
2,146 |
2,108 |
$10K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
533 |
531 |
$9K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
78 |
78 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
200 |
192 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
464 |
460 |
$6K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
1,045 |
1,017 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,597 |
1,566 |
$4K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
215 |
210 |
$4K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
99 |
99 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
970 |
942 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
172 |
166 |
$3K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
93 |
89 |
$3K |
| E0243 |
Toilet rail, each |
44 |
44 |
$2K |
| E0635 |
Patient lift, electric with seat or sling |
234 |
221 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
78 |
73 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
205 |
194 |
$2K |
| E0244 |
Raised toilet seat |
55 |
54 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
37 |
37 |
$957.27 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
308 |
289 |
$801.53 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
110 |
105 |
$765.73 |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
25 |
25 |
$686.89 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
285 |
264 |
$566.83 |
| K0006 |
Heavy duty wheelchair |
26 |
24 |
$235.97 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
36 |
34 |
$206.47 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
26 |
25 |
$131.94 |
| A7037 |
Tubing used with positive airway pressure device |
39 |
39 |
$129.60 |