| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
31,703 |
31,597 |
$872K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
20,731 |
20,500 |
$610K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,272 |
9,259 |
$322K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,119 |
7,115 |
$217K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,819 |
5,809 |
$174K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,885 |
3,858 |
$164K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,138 |
2,095 |
$74K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,374 |
1,368 |
$64K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,481 |
2,477 |
$44K |
| K0001 |
Standard wheelchair |
1,865 |
1,735 |
$29K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,508 |
1,497 |
$20K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,371 |
1,370 |
$10K |
| A4335 |
Incontinence supply; miscellaneous |
4,360 |
4,202 |
$9K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
245 |
245 |
$9K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
890 |
780 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
1,051 |
1,042 |
$6K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
2,476 |
2,464 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,205 |
1,178 |
$4K |
| E0245 |
Tub stool or bench |
588 |
586 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,064 |
862 |
$3K |
| E0570 |
Nebulizer, with compressor |
594 |
590 |
$2K |
| A4554 |
Disposable underpads, all sizes |
1,236 |
1,229 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
66 |
64 |
$350.20 |
| K0003 |
Lightweight wheelchair |
13 |
13 |
$50.29 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
332 |
332 |
$0.00 |