| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
10,632 |
10,225 |
$372K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,460 |
2,424 |
$366K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,538 |
1,525 |
$310K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,162 |
2,150 |
$267K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,303 |
2,245 |
$97K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
974 |
938 |
$95K |
| A4335 |
Incontinence supply; miscellaneous |
11,224 |
10,778 |
$57K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,007 |
1,975 |
$43K |
| K0001 |
Standard wheelchair |
2,395 |
2,369 |
$20K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
82 |
82 |
$13K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
64 |
62 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
141 |
141 |
$2K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
13 |
12 |
$1K |
| E0570 |
Nebulizer, with compressor |
266 |
264 |
$194.97 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$111.96 |