| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
18,167 |
17,418 |
$1.20M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,990 |
5,779 |
$799K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,261 |
4,131 |
$673K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
14,126 |
13,612 |
$647K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,740 |
3,608 |
$504K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,930 |
1,860 |
$402K |
| A4927 |
Gloves, non-sterile, per 100 |
14,177 |
13,565 |
$203K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
519 |
498 |
$78K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
576 |
548 |
$57K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
406 |
391 |
$41K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
709 |
673 |
$31K |
| K0001 |
Standard wheelchair |
675 |
635 |
$21K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
112 |
106 |
$11K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
49 |
49 |
$11K |
| A4670 |
Automatic blood pressure monitor |
79 |
75 |
$5K |
| E0570 |
Nebulizer, with compressor |
14 |
13 |
$610.18 |