| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
24,052 |
23,382 |
$3.81M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
22,041 |
21,623 |
$3.34M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
49,704 |
48,549 |
$3.03M |
| T4541 |
Incontinence product, disposable underpad, large, each |
52,859 |
51,620 |
$2.50M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
7,548 |
7,291 |
$1.26M |
| A4927 |
Gloves, non-sterile, per 100 |
51,261 |
50,147 |
$1.09M |
| A4553 |
Non-disposable underpads, all sizes |
33,413 |
32,734 |
$484K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,683 |
1,656 |
$213K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
1,050 |
1,038 |
$208K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
621 |
615 |
$192K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
887 |
871 |
$138K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
896 |
874 |
$127K |
| A4245 |
Alcohol wipes, per box |
5,135 |
5,043 |
$34K |
| A4259 |
Lancets, per box of 100 |
5,366 |
5,078 |
$34K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,564 |
1,539 |
$26K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
141 |
139 |
$20K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
570 |
516 |
$10K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
5,421 |
5,131 |
$7K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
70 |
69 |
$4K |
| A4670 |
Automatic blood pressure monitor |
90 |
90 |
$4K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
269 |
208 |
$897.40 |
| A9270 |
Non-covered item or service |
12 |
12 |
$480.18 |
| E0607 |
Home blood glucose monitor |
60 |
56 |
$230.81 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$49.27 |
| 90653 |
|
21 |
21 |
$0.00 |
| E0156 |
Seat attachment, walker |
12 |
12 |
$0.00 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$0.00 |