| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
328 |
243 |
$14K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
82 |
62 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
338 |
230 |
$9K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
16 |
13 |
$3K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
38 |
25 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
48 |
36 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
38 |
33 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
12 |
12 |
$790.00 |