| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
15,061 |
15,058 |
$788K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
11,347 |
11,343 |
$536K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,775 |
8,560 |
$437K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,020 |
3,020 |
$171K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,451 |
2,445 |
$136K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,539 |
1,538 |
$83K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,193 |
1,193 |
$77K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,157 |
1,157 |
$55K |
| E0245 |
Tub stool or bench |
90 |
90 |
$5K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
334 |
334 |
$4K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
159 |
159 |
$2K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
26 |
26 |
$2K |
| A4335 |
Incontinence supply; miscellaneous |
131 |
131 |
$2K |
| K0001 |
Standard wheelchair |
479 |
479 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
47 |
47 |
$566.16 |
| E0156 |
Seat attachment, walker |
30 |
30 |
$105.32 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
12 |
12 |
$89.82 |