| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
19,892 |
19,835 |
$1.09M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
10,972 |
10,481 |
$532K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,589 |
5,479 |
$331K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,347 |
6,346 |
$315K |
| E1399 |
Durable medical equipment, miscellaneous |
2,863 |
2,327 |
$303K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,392 |
3,391 |
$274K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,637 |
2,604 |
$155K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,371 |
1,368 |
$103K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,321 |
1,320 |
$95K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
4,778 |
4,769 |
$79K |
| A4927 |
Gloves, non-sterile, per 100 |
2,559 |
2,559 |
$50K |
| E0144 |
Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat |
140 |
140 |
$36K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
220 |
214 |
$33K |
| E0245 |
Tub stool or bench |
490 |
488 |
$25K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
268 |
247 |
$21K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
368 |
368 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
260 |
257 |
$15K |
| E0246 |
Transfer tub rail attachment |
370 |
369 |
$14K |
| E0156 |
Seat attachment, walker |
476 |
476 |
$8K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
547 |
547 |
$6K |
| E0297 |
Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress |
61 |
61 |
$6K |
| A4335 |
Incontinence supply; miscellaneous |
574 |
574 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
54 |
54 |
$4K |
| K0001 |
Standard wheelchair |
165 |
159 |
$4K |
| E0305 |
Bed side rails, half length |
138 |
137 |
$2K |
| E0271 |
Mattress, innerspring |
114 |
113 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
40 |
38 |
$1K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
17 |
12 |
$1K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
47 |
47 |
$1K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
76 |
76 |
$786.71 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
13 |
13 |
$712.93 |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
15 |
12 |
$222.52 |