| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
22,320 |
21,900 |
$1.48M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
26,030 |
25,577 |
$1.26M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,236 |
9,101 |
$1.18M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,096 |
4,971 |
$815K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,980 |
2,928 |
$363K |
| A4927 |
Gloves, non-sterile, per 100 |
20,668 |
20,243 |
$244K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,445 |
1,377 |
$172K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
447 |
417 |
$122K |
| K0001 |
Standard wheelchair |
2,487 |
2,325 |
$59K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
718 |
625 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,365 |
1,290 |
$29K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
268 |
262 |
$17K |
| A4670 |
Automatic blood pressure monitor |
178 |
176 |
$11K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
92 |
88 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
167 |
161 |
$9K |
| K0002 |
Standard hemi (low seat) wheelchair |
127 |
127 |
$2K |
| E0156 |
Seat attachment, walker |
107 |
103 |
$1K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
12 |
12 |
$1K |
| E0570 |
Nebulizer, with compressor |
68 |
66 |
$1K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
12 |
12 |
$673.35 |