| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment mi |
2,348 |
2,265 |
$1.27M |
| T4527 |
Adult size pull-on lg |
4,003 |
3,971 |
$518K |
| A4554 |
Disposable underpads |
10,196 |
10,098 |
$364K |
| T4528 |
Adult size pull-on xl |
2,263 |
2,189 |
$333K |
| B4154 |
Ef spec metabolic noninherit |
669 |
655 |
$274K |
| T4544 |
Adlt disp und/pull on abv xl |
1,085 |
1,063 |
$270K |
| T4526 |
Adult size pull-on med |
2,115 |
2,107 |
$252K |
| T4535 |
Disposable liner/shield/pad |
4,731 |
4,662 |
$232K |
| E0240 |
Bath/shower chair |
500 |
484 |
$132K |
| B4150 |
Ef complet w/intact nutrient |
655 |
639 |
$116K |
| B4152 |
Ef calorie dense>/=1.5kcal |
594 |
584 |
$86K |
| A4335 |
Incontinence supply |
13,479 |
13,309 |
$72K |
| E1390 |
Oxygen concentrator |
344 |
344 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
406 |
406 |
$13K |
| A4670 |
Automatic bp monitor, dial |
224 |
218 |
$12K |
| K0001 |
Standard wheelchair |
103 |
101 |
$8K |
| E0570 |
Nebulizer with compression |
243 |
243 |
$6K |
| E0627 |
Seat lift mech, electric any |
32 |
32 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
66 |
65 |
$2K |
| E0156 |
Walker seat attachment |
95 |
93 |
$1K |
| A4253 |
Blood glucose/reagent strips |
24 |
24 |
$143.12 |