| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
3,123 |
3,019 |
$155K |
| A4927 |
Gloves, non-sterile, per 100 |
3,981 |
3,822 |
$74K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
775 |
753 |
$49K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
373 |
364 |
$45K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,491 |
1,413 |
$32K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
283 |
267 |
$32K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
144 |
140 |
$19K |
| K0001 |
Standard wheelchair |
1,407 |
1,321 |
$11K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
275 |
247 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
458 |
417 |
$8K |
| E0570 |
Nebulizer, with compressor |
733 |
703 |
$6K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
53 |
49 |
$5K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
39 |
39 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
256 |
230 |
$1K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$1K |