| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
12,055 |
11,457 |
$776K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,031 |
4,782 |
$633K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,145 |
4,897 |
$616K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
12,999 |
12,420 |
$592K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,290 |
2,186 |
$365K |
| A4670 |
Automatic blood pressure monitor |
4,151 |
3,917 |
$250K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,962 |
1,819 |
$230K |
| A4927 |
Gloves, non-sterile, per 100 |
13,702 |
12,897 |
$182K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
2,182 |
2,042 |
$133K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,224 |
1,180 |
$127K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
928 |
875 |
$94K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
811 |
718 |
$56K |
| 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 |
753 |
541 |
$48K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
441 |
358 |
$45K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
358 |
323 |
$38K |
| K0001 |
Standard wheelchair |
385 |
362 |
$13K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
122 |
121 |
$13K |
| E0156 |
Seat attachment, walker |
672 |
596 |
$9K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
208 |
179 |
$9K |
| 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 |
103 |
93 |
$5K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
132 |
107 |
$4K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
13 |
13 |
$3K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
13 |
13 |
$3K |
| E0243 |
Toilet rail, each |
42 |
42 |
$2K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
54 |
53 |
$849.20 |
| E0244 |
Raised toilet seat |
39 |
39 |
$794.39 |
| E0241 |
Bath tub wall rail, each |
31 |
30 |
$788.03 |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
31 |
24 |
$756.71 |