| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
8,509 |
8,396 |
$1.18M |
| T4541 |
Large disposable underpad |
15,425 |
15,192 |
$1.07M |
| T4528 |
Adult size pull-on xl |
4,379 |
4,329 |
$765K |
| T4526 |
Adult size pull-on med |
4,905 |
4,819 |
$660K |
| T4543 |
Adult disp brief/diap abv xl |
2,206 |
2,166 |
$588K |
| T4535 |
Disposable liner/shield/pad |
7,829 |
7,703 |
$370K |
| A4353 |
Intermittent urinary cath |
228 |
196 |
$188K |
| A4927 |
Non-sterile gloves |
6,967 |
6,856 |
$99K |
| A4670 |
Automatic bp monitor, dial |
956 |
938 |
$57K |
| E0240 |
Bath/shower chair |
360 |
353 |
$36K |
| K0001 |
Standard wheelchair |
1,138 |
1,073 |
$23K |
| E0570 |
Nebulizer with compression |
371 |
337 |
$13K |
| A6533 |
Gc stocking thighlngth 18-30 |
37 |
37 |
$3K |
| B4150 |
Ef complet w/intact nutrient |
14 |
12 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
48 |
44 |
$2K |
| A4310 |
Insert tray w/o bag/cath |
12 |
12 |
$456.49 |
| A4332 |
Lube sterile packet |
36 |
36 |
$389.65 |
| A4357 |
Bedside drainage bag |
27 |
24 |
$384.49 |
| E0156 |
Walker seat attachment |
34 |
30 |
$305.96 |