| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult size brief/diaper lg |
12,697 |
12,142 |
$1.22M |
| T4535 |
Disposable liner/shield/pad |
15,588 |
14,914 |
$1.01M |
| T4541 |
Large disposable underpad |
15,992 |
15,261 |
$831K |
| A6214 |
Foam drg > 48 sq in w/border |
660 |
635 |
$317K |
| A4927 |
Non-sterile gloves |
16,175 |
15,528 |
$211K |
| A6197 |
Alginate drsg >16 <=48 sq in |
380 |
365 |
$185K |
| T4537 |
Reusable underpad bed size |
2,559 |
2,453 |
$127K |
| A4217 |
Sterile water/saline, 500 ml |
1,523 |
1,492 |
$112K |
| A4670 |
Automatic bp monitor, dial |
2,369 |
2,279 |
$101K |
| K0001 |
Standard wheelchair |
3,865 |
3,670 |
$85K |
| A4327 |
Fem urinary collect dev cup |
91 |
89 |
$75K |
| T4522 |
Adult size brief/diaper med |
902 |
859 |
$65K |
| E0295 |
Hosp bed semi-elect w/o matt |
1,390 |
1,273 |
$59K |
| A6403 |
Sterile gauze>16 <= 48 sq in |
1,094 |
1,077 |
$39K |
| A6258 |
Transparent film >16<=48 in |
283 |
279 |
$36K |
| E0240 |
Bath/shower chair |
616 |
605 |
$30K |
| K0003 |
Lightweight wheelchair |
926 |
894 |
$30K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
142 |
142 |
$29K |
| E0570 |
Nebulizer with compression |
2,261 |
2,239 |
$28K |
| T4524 |
Adult size brief/diaper xl |
292 |
263 |
$27K |
| E0143 |
Walker folding wheeled w/o s |
794 |
776 |
$23K |
| A6545 |
Grad com non-elastic bk surg |
68 |
68 |
$19K |
| T4527 |
Adult size pull-on lg |
272 |
229 |
$18K |
| A6220 |
Gauze >16 <=48 sq in w/bordr |
224 |
221 |
$16K |
| E0305 |
Rails bed side half length |
970 |
863 |
$15K |
| E0245 |
Tub stool or bench |
382 |
335 |
$15K |
| E2622 |
Adj skin pro w/c cus wd<22in |
178 |
171 |
$11K |
| A6196 |
Alginate dressing <=16 sq in |
49 |
49 |
$10K |
| E0144 |
Enclosed walker w rear seat |
1,415 |
1,411 |
$10K |
| E0271 |
Mattress innerspring |
825 |
721 |
$9K |
| K0806 |
Pov group 2 std up to 300lbs |
14 |
14 |
$9K |
| K0007 |
Extra heavy duty wheelchair |
206 |
205 |
$8K |
| E0601 |
Cont airway pressure device |
146 |
135 |
$8K |
| A7005 |
Nondisposable nebulizer set |
598 |
576 |
$7K |
| E0156 |
Walker seat attachment |
760 |
743 |
$6K |
| A6216 |
Non-sterile gauze<=16 sq in |
933 |
919 |
$5K |
| A6248 |
Hydrogel drsg gel filler |
87 |
87 |
$5K |
| K0195 |
Elevating whlchair leg rests |
431 |
415 |
$5K |
| E0210 |
Electric heat pad standard |
301 |
301 |
$5K |
| A6259 |
Transparent film > 48 sq in |
28 |
28 |
$4K |
| A6446 |
Conform band s w>=3" <5"/yd |
345 |
332 |
$3K |
| A5120 |
Skin barrier, wipe or swab |
144 |
133 |
$3K |
| E0149 |
Heavy duty wheeled walker |
713 |
701 |
$2K |
| E0310 |
Rails bed side full length |
275 |
272 |
$2K |
| A6454 |
Self-adher band w>=3" <5"/yd |
87 |
86 |
$2K |
| E0244 |
Toilet seat raised |
46 |
44 |
$2K |
| A6250 |
Skin seal protect moisturizr |
227 |
223 |
$1K |
| E0247 |
Trans bench w/wo comm open |
18 |
18 |
$1K |
| E0241 |
Bath tub wall rail |
53 |
52 |
$993.55 |
| A7015 |
Aerosol mask used w nebulize |
604 |
579 |
$990.35 |
| E0105 |
Cane adjust/fixed quad/3 pro |
73 |
72 |
$845.96 |
| T4526 |
Adult size pull-on med |
13 |
12 |
$770.12 |
| A4357 |
Bedside drainage bag |
13 |
12 |
$759.80 |
| E0243 |
Toilet rail |
14 |
14 |
$680.97 |
| E0100 |
Cane adjust/fixed with tip |
140 |
140 |
$542.34 |
| A7013 |
Disposable compressor filter |
376 |
364 |
$365.99 |
| E0163 |
Commode chair with fixed arm |
37 |
37 |
$291.77 |
| E1038 |
Transport chair pt wt<=300lb |
66 |
65 |
$152.78 |