| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
20,131 |
20,001 |
$1.38M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
17,434 |
17,324 |
$1.00M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,484 |
5,466 |
$378K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,194 |
6,187 |
$372K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,863 |
2,816 |
$182K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
14,840 |
14,734 |
$180K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,357 |
1,354 |
$124K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,214 |
2,171 |
$123K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,604 |
2,575 |
$79K |
| E0570 |
Nebulizer, with compressor |
593 |
588 |
$55K |
| K0001 |
Standard wheelchair |
439 |
434 |
$26K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
531 |
530 |
$26K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
478 |
478 |
$25K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
272 |
271 |
$18K |
| A4335 |
Incontinence supply; miscellaneous |
3,233 |
3,223 |
$14K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,544 |
2,536 |
$13K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
387 |
387 |
$12K |
| A4927 |
Gloves, non-sterile, per 100 |
1,468 |
1,468 |
$7K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
134 |
134 |
$7K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
109 |
109 |
$6K |
| E0245 |
Tub stool or bench |
113 |
113 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
273 |
272 |
$4K |
| 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 |
56 |
42 |
$3K |
| E0156 |
Seat attachment, walker |
223 |
223 |
$2K |
| 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 |
38 |
25 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
177 |
177 |
$173.32 |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
12 |
12 |
$121.80 |