| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
43,105 |
40,501 |
$1.59M |
| T4526 |
Adult size pull-on med |
15,969 |
14,967 |
$1.20M |
| T4527 |
Adult size pull-on lg |
12,041 |
11,429 |
$956K |
| T4523 |
Adult size brief/diaper lg |
10,001 |
9,446 |
$930K |
| T4524 |
Adult size brief/diaper xl |
7,468 |
7,033 |
$904K |
| T4528 |
Adult size pull-on xl |
7,154 |
6,710 |
$636K |
| T4525 |
Adult size pull-on sm |
7,114 |
6,640 |
$526K |
| T4522 |
Adult size brief/diaper med |
6,843 |
6,511 |
$389K |
| T4535 |
Disposable liner/shield/pad |
8,644 |
8,062 |
$284K |
| E1390 |
Oxygen concentrator |
1,118 |
1,080 |
$92K |
| T4521 |
Adult size brief/diaper sm |
1,820 |
1,725 |
$88K |
| E0443 |
Portable 02 contents, gas |
1,237 |
855 |
$86K |
| T4543 |
Adult disp brief/diap abv xl |
265 |
243 |
$78K |
| T4544 |
Adlt disp und/pull on abv xl |
300 |
289 |
$77K |
| K0003 |
Lightweight wheelchair |
2,351 |
2,169 |
$46K |
| E0431 |
Portable gaseous 02 |
1,503 |
1,080 |
$37K |
| E0143 |
Walker folding wheeled w/o s |
1,003 |
941 |
$36K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,318 |
2,177 |
$32K |
| E0245 |
Tub stool or bench |
221 |
193 |
$13K |
| E0570 |
Nebulizer with compression |
2,118 |
2,040 |
$13K |
| A4670 |
Automatic bp monitor, dial |
162 |
155 |
$7K |
| K0195 |
Elevating whlchair leg rests |
1,297 |
1,203 |
$5K |
| E0163 |
Commode chair with fixed arm |
108 |
101 |
$5K |
| E0156 |
Walker seat attachment |
185 |
169 |
$745.42 |
| A5500 |
Diab shoe for density insert |
45 |
28 |
$736.61 |
| A5512 |
Multi den insert direct form |
31 |
28 |
$697.65 |
| A7003 |
Nebulizer administration set |
543 |
520 |
$494.88 |
| E0973 |
W/ch access det adj armrest |
49 |
48 |
$374.37 |
| E0971 |
Wheelchair anti-tipping devi |
33 |
32 |
$173.83 |
| E0951 |
Loop heel |
12 |
12 |
$29.49 |
| E0555 |
Humidifier for use w/ regula |
113 |
111 |
$0.00 |
| A4616 |
Tubing (oxygen) per foot |
148 |
143 |
$0.00 |
| A4615 |
Cannula nasal |
148 |
143 |
$0.00 |