| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
14,985 |
14,960 |
$1.88M |
| A4554 |
Disposable underpads, all sizes |
41,836 |
41,796 |
$1.57M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
11,654 |
11,645 |
$1.28M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
24,523 |
24,063 |
$934K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,058 |
6,050 |
$886K |
| A4335 |
Incontinence supply; miscellaneous |
46,494 |
46,452 |
$258K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,220 |
1,218 |
$136K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
825 |
816 |
$125K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,059 |
1,058 |
$100K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
634 |
633 |
$88K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
350 |
349 |
$72K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
708 |
706 |
$70K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
5,075 |
5,004 |
$53K |
| E0570 |
Nebulizer, with compressor |
1,425 |
1,413 |
$39K |
| A4670 |
Automatic blood pressure monitor |
536 |
532 |
$32K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
6,133 |
6,129 |
$30K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
109 |
109 |
$28K |
| K0001 |
Standard wheelchair |
1,615 |
1,603 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
693 |
692 |
$20K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
99 |
94 |
$11K |
| A4259 |
Lancets, per box of 100 |
4,548 |
4,511 |
$8K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
264 |
262 |
$7K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
720 |
465 |
$2K |
| K0003 |
Lightweight wheelchair |
80 |
80 |
$917.96 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
41 |
41 |
$832.04 |
| A4245 |
Alcohol wipes, per box |
462 |
462 |
$739.49 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
462 |
451 |
$710.75 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
452 |
311 |
$605.81 |
| A7015 |
Aerosol mask, used with dme nebulizer |
549 |
537 |
$580.73 |
| E0156 |
Seat attachment, walker |
40 |
40 |
$98.95 |
| A4258 |
Spring-powered device for lancet, each |
88 |
87 |
$76.18 |