| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
13,380 |
11,116 |
$2.87M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,342 |
2,079 |
$198K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,725 |
1,493 |
$175K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,559 |
4,025 |
$162K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,658 |
1,370 |
$156K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,129 |
2,571 |
$119K |
| S5165 |
Home modifications; per service |
612 |
583 |
$98K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
962 |
836 |
$89K |
| A4927 |
Gloves, non-sterile, per 100 |
6,325 |
5,374 |
$87K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,740 |
1,597 |
$53K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
80 |
65 |
$20K |
| E0627 |
Seat lift mechanism, electric, any type |
273 |
245 |
$13K |
| E0245 |
Tub stool or bench |
395 |
366 |
$12K |
| K0001 |
Standard wheelchair |
419 |
361 |
$10K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
37 |
27 |
$4K |
| E0241 |
Bath tub wall rail, each |
176 |
163 |
$3K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
39 |
38 |
$2K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
17 |
15 |
$1K |
| E0244 |
Raised toilet seat |
43 |
37 |
$1K |