| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
33,372 |
31,842 |
$1.96M |
| T4526 |
Adult size pull-on med |
17,332 |
16,447 |
$1.31M |
| T4527 |
Adult size pull-on lg |
15,258 |
14,480 |
$1.28M |
| B4150 |
Ef complet w/intact nutrient |
10,373 |
9,438 |
$946K |
| B4154 |
Ef spec metabolic noninherit |
5,045 |
4,625 |
$643K |
| T4528 |
Adult size pull-on xl |
5,669 |
5,363 |
$594K |
| A4335 |
Incontinence supply |
8,994 |
8,550 |
$343K |
| T4525 |
Adult size pull-on sm |
3,723 |
3,433 |
$323K |
| A4520 |
Incontinence garment anytype |
7,230 |
5,977 |
$320K |
| A4554 |
Disposable underpads |
5,592 |
5,237 |
$274K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,437 |
1,322 |
$142K |
| K0739 |
Repair/svc dme non-oxygen eq |
3,338 |
3,091 |
$118K |
| T4523 |
Adult size brief/diaper lg |
1,142 |
1,056 |
$112K |
| A4927 |
Non-sterile gloves |
6,539 |
6,021 |
$100K |
| E0261 |
Hosp bed semi-electr w/o mat |
2,594 |
2,542 |
$91K |
| E1399 |
Durable medical equipment mi |
6,684 |
6,426 |
$90K |
| T4522 |
Adult size brief/diaper med |
991 |
916 |
$71K |
| T4524 |
Adult size brief/diaper xl |
505 |
445 |
$58K |
| T4537 |
Reusable underpad bed size |
1,591 |
1,528 |
$53K |
| T4542 |
Small disposable underpad |
1,098 |
1,086 |
$51K |
| K0823 |
Pwc gp 2 std cap chair |
355 |
355 |
$44K |
| E0245 |
Tub stool or bench |
2,055 |
2,020 |
$41K |
| E0143 |
Walker folding wheeled w/o s |
1,176 |
1,155 |
$38K |
| A4670 |
Automatic bp monitor, dial |
1,305 |
1,261 |
$37K |
| B4100 |
Food thickener oral |
340 |
328 |
$26K |
| E0163 |
Commode chair with fixed arm |
683 |
677 |
$24K |
| E0241 |
Bath tub wall rail |
1,128 |
1,092 |
$19K |
| E0244 |
Toilet seat raised |
650 |
649 |
$16K |
| A6250 |
Skin seal protect moisturizr |
948 |
896 |
$15K |
| E0246 |
Transfer tub rail attachment |
287 |
287 |
$12K |
| E1639 |
Scale, each |
335 |
319 |
$12K |
| K0001 |
Standard wheelchair |
1,631 |
1,486 |
$12K |
| K0002 |
Stnd hemi (low seat) whlchr |
962 |
873 |
$11K |
| E0156 |
Walker seat attachment |
960 |
945 |
$11K |
| E0100 |
Cane adjust/fixed with tip |
836 |
834 |
$8K |
| T4541 |
Large disposable underpad |
188 |
188 |
$8K |
| T4544 |
Adlt disp und/pull on abv xl |
62 |
58 |
$8K |
| E0630 |
Patient lift hydraulic |
256 |
237 |
$6K |
| K0195 |
Elevating whlchair leg rests |
718 |
638 |
$5K |
| E0247 |
Trans bench w/wo comm open |
150 |
150 |
$4K |
| E1038 |
Transport chair pt wt<=300lb |
66 |
66 |
$3K |
| E0277 |
Powered pres-redu air mattrs |
65 |
52 |
$3K |
| E0105 |
Cane adjust/fixed quad/3 pro |
84 |
80 |
$1K |
| E0272 |
Mattress foam rubber |
52 |
52 |
$1K |
| A9999 |
Dme supply or accessory, nos |
21 |
21 |
$643.35 |
| A9281 |
Reaching/grabbing device |
27 |
27 |
$180.36 |
| K0003 |
Lightweight wheelchair |
30 |
24 |
$116.65 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$42.95 |