| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0248 |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
54 |
53 |
$21K |
| T4541 |
Incontinence product, disposable underpad, large, each |
284 |
277 |
$20K |
| K0003 |
Lightweight wheelchair |
148 |
131 |
$8K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
41 |
40 |
$6K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
55 |
55 |
$2K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
13 |
12 |
$2K |
| E0570 |
Nebulizer, with compressor |
57 |
55 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
12 |
12 |
$161.28 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
24 |
$20.08 |