| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4150 |
Ef complet w/intact nutrient |
17,521 |
12,983 |
$1.51M |
| A4554 |
Disposable underpads |
26,861 |
20,978 |
$1.43M |
| B4154 |
Ef spec metabolic noninherit |
5,865 |
4,331 |
$1.37M |
| A6250 |
Skin seal protect moisturizr |
15,121 |
11,366 |
$1.35M |
| T4527 |
Adult size pull-on lg |
8,257 |
6,563 |
$1.26M |
| T4535 |
Disposable liner/shield/pad |
17,796 |
13,834 |
$1.22M |
| T4526 |
Adult size pull-on med |
8,366 |
6,619 |
$1.11M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,083 |
2,542 |
$856K |
| T4528 |
Adult size pull-on xl |
4,678 |
3,609 |
$639K |
| A4927 |
Non-sterile gloves |
27,154 |
19,872 |
$574K |
| T4534 |
Youth size pull-on |
2,208 |
1,862 |
$412K |
| T4543 |
Adult disp brief/diap abv xl |
1,673 |
1,241 |
$302K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,107 |
1,581 |
$254K |
| A6533 |
Gc stocking thighlngth 18-30 |
6,429 |
4,973 |
$196K |
| A6530 |
Compression stocking bk18-30 |
6,559 |
5,063 |
$189K |
| T4525 |
Adult size pull-on sm |
1,432 |
1,194 |
$154K |
| T4530 |
Ped size brief/diaper lg |
945 |
759 |
$77K |
| B4155 |
Ef incomplete/modular |
329 |
250 |
$57K |
| B4102 |
Ef adult fluids and electro |
403 |
323 |
$41K |
| A4253 |
Blood glucose/reagent strips |
1,258 |
1,051 |
$30K |
| A4245 |
Alcohol wipes per box |
1,772 |
1,445 |
$17K |
| A4452 |
Waterproof tape |
605 |
542 |
$14K |
| A6402 |
Sterile gauze <= 16 sq in |
980 |
863 |
$11K |
| A4259 |
Lancets per box |
970 |
844 |
$8K |
| A4670 |
Automatic bp monitor, dial |
142 |
101 |
$7K |
| A6452 |
High compres band w>=3"<5"yd |
17 |
12 |
$7K |
| A9286 |
Any hygienic item, device |
715 |
583 |
$5K |
| E1399 |
Durable medical equipment mi |
68 |
56 |
$5K |
| A6260 |
Wound cleanser any type/size |
209 |
165 |
$3K |
| E0245 |
Tub stool or bench |
51 |
43 |
$2K |
| A6446 |
Conform band s w>=3" <5"/yd |
43 |
36 |
$2K |
| E0730 |
Tens four lead |
30 |
29 |
$941.04 |
| A4553 |
Nondisp underpads, all sizes |
41 |
24 |
$765.10 |
| E0570 |
Nebulizer with compression |
32 |
12 |
$677.60 |
| A4357 |
Bedside drainage bag |
80 |
74 |
$648.91 |
| E0241 |
Bath tub wall rail |
16 |
14 |
$542.24 |
| A4310 |
Insert tray w/o bag/cath |
107 |
91 |
$354.37 |
| A5120 |
Skin barrier, wipe or swab |
64 |
49 |
$310.61 |
| A7005 |
Nondisposable nebulizer set |
33 |
13 |
$237.03 |
| A4338 |
Indwelling catheter latex |
44 |
38 |
$205.94 |
| A4456 |
Adhesive remover, wipes |
13 |
12 |
$80.50 |
| A4450 |
Non-waterproof tape |
12 |
12 |
$66.64 |
| A7015 |
Aerosol mask used w nebulize |
32 |
12 |
$16.44 |