| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
18,653 |
18,145 |
$1.31M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,450 |
6,255 |
$1.07M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,239 |
5,084 |
$884K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,187 |
5,059 |
$881K |
| A4554 |
Disposable underpads, all sizes |
16,768 |
16,292 |
$735K |
| A4927 |
Gloves, non-sterile, per 100 |
18,650 |
18,139 |
$576K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,273 |
1,255 |
$386K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,217 |
702 |
$264K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,900 |
1,858 |
$94K |
| W5514 |
|
347 |
334 |
$91K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
449 |
439 |
$18K |
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
328 |
283 |
$16K |
| E2375 |
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only |
161 |
156 |
$6K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
364 |
329 |
$3K |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
115 |
108 |
$2K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
51 |
51 |
$993.94 |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
51 |
51 |
$566.98 |
| E2392 |
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
39 |
39 |
$556.59 |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
108 |
107 |
$366.34 |