| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
32,716 |
30,387 |
$1.00M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,060 |
10,331 |
$869K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
8,965 |
8,381 |
$683K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,580 |
6,207 |
$595K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
5,294 |
4,877 |
$475K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,854 |
3,581 |
$401K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
14,738 |
13,744 |
$292K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,740 |
3,522 |
$245K |
| K0001 |
Standard wheelchair |
6,729 |
6,217 |
$238K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,420 |
1,290 |
$217K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,309 |
2,150 |
$168K |
| K0816 |
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,217 |
1,116 |
$164K |
| E0245 |
Tub stool or bench |
2,136 |
2,002 |
$137K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,929 |
2,670 |
$82K |
| K0002 |
Standard hemi (low seat) wheelchair |
3,020 |
2,821 |
$70K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,055 |
984 |
$67K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
5,223 |
4,857 |
$60K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,572 |
1,447 |
$46K |
| E0570 |
Nebulizer, with compressor |
2,872 |
2,741 |
$38K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
903 |
790 |
$32K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
1,607 |
1,464 |
$31K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
525 |
480 |
$30K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,277 |
2,100 |
$28K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
762 |
713 |
$25K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
1,812 |
1,660 |
$20K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
54 |
42 |
$17K |
| A4670 |
Automatic blood pressure monitor |
352 |
333 |
$16K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
1,279 |
1,147 |
$15K |
| E0244 |
Raised toilet seat |
320 |
302 |
$13K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
444 |
414 |
$11K |
| E0184 |
Dry pressure mattress |
373 |
339 |
$10K |
| K0006 |
Heavy duty wheelchair |
72 |
66 |
$9K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
139 |
116 |
$8K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
238 |
227 |
$7K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
547 |
530 |
$7K |
| E0156 |
Seat attachment, walker |
1,362 |
1,237 |
$6K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
1,321 |
1,263 |
$5K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
441 |
421 |
$4K |
| E0277 |
Powered pressure-reducing air mattress |
25 |
24 |
$4K |
| A4456 |
Adhesive remover, wipes, any type, each |
156 |
151 |
$2K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
27 |
25 |
$1K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
54 |
50 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
438 |
435 |
$1K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
140 |
137 |
$996.91 |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
13 |
13 |
$985.08 |
| A5120 |
Skin barrier, wipes or swabs, each |
79 |
77 |
$711.23 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
13 |
$105.49 |
| A4371 |
Ostomy skin barrier, powder, per oz |
25 |
25 |
$99.43 |