| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
7,164 |
7,118 |
$477K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,597 |
4,552 |
$381K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,692 |
2,674 |
$373K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,571 |
2,559 |
$273K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,818 |
2,802 |
$244K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,575 |
1,560 |
$192K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,803 |
2,790 |
$180K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,608 |
1,599 |
$138K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,402 |
1,374 |
$21K |
| K0003 |
Lightweight wheelchair |
222 |
222 |
$21K |
| E0245 |
Tub stool or bench |
204 |
203 |
$11K |
| A4335 |
Incontinence supply; miscellaneous |
821 |
812 |
$10K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
92 |
91 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
90 |
90 |
$2K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
12 |
12 |
$349.08 |