| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
3,022 |
2,687 |
$188K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,335 |
1,163 |
$161K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,117 |
1,037 |
$136K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,228 |
1,975 |
$123K |
| A4670 |
Automatic blood pressure monitor |
1,244 |
1,120 |
$70K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
473 |
442 |
$65K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
522 |
389 |
$61K |
| A4927 |
Gloves, non-sterile, per 100 |
2,270 |
1,969 |
$41K |
| E0570 |
Nebulizer, with compressor |
424 |
394 |
$23K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
242 |
203 |
$18K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
102 |
89 |
$10K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
83 |
78 |
$10K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
135 |
124 |
$8K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
54 |
54 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
132 |
123 |
$2K |
| K0001 |
Standard wheelchair |
135 |
126 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
55 |
38 |
$1K |
| E0156 |
Seat attachment, walker |
141 |
67 |
$818.39 |