| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
8,644 |
8,136 |
$559K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,645 |
6,215 |
$424K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,725 |
2,547 |
$406K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,593 |
2,386 |
$364K |
| A4927 |
Gloves, non-sterile, per 100 |
16,372 |
11,526 |
$232K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,541 |
1,474 |
$215K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,405 |
1,358 |
$214K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,647 |
1,518 |
$167K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
734 |
657 |
$96K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
307 |
262 |
$37K |
| K0001 |
Standard wheelchair |
437 |
346 |
$8K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
463 |
442 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
110 |
65 |
$4K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
14 |
12 |
$2K |
| A4670 |
Automatic blood pressure monitor |
17 |
17 |
$880.20 |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
42 |
37 |
$719.31 |