| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,668 |
1,521 |
$53K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
250 |
230 |
$42K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,804 |
1,643 |
$37K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
146 |
146 |
$31K |
| A4927 |
Gloves, non-sterile, per 100 |
971 |
796 |
$15K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
203 |
202 |
$8K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
29 |
29 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
26 |
25 |
$972.71 |
| K0001 |
Standard wheelchair |
39 |
36 |
$659.67 |