| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
9,545 |
8,384 |
$621K |
| T4528 |
Adult size pull-on xl |
3,138 |
2,827 |
$520K |
| T4535 |
Disposable liner/shield/pad |
8,529 |
7,574 |
$387K |
| T4544 |
Adlt disp und/pull on abv xl |
1,392 |
1,227 |
$337K |
| T4527 |
Adult size pull-on lg |
1,884 |
1,609 |
$268K |
| A4670 |
Automatic bp monitor, dial |
4,324 |
3,894 |
$266K |
| T4526 |
Adult size pull-on med |
1,841 |
1,618 |
$260K |
| A4459 |
Transanal irrigation, any |
40 |
24 |
$87K |
| E0466 |
Home vent non-invasive inter |
458 |
406 |
$75K |
| E0143 |
Walker folding wheeled w/o s |
1,033 |
936 |
$66K |
| A4927 |
Non-sterile gloves |
7,932 |
6,694 |
$52K |
| T4530 |
Ped size brief/diaper lg |
408 |
296 |
$50K |
| E0240 |
Bath/shower chair |
485 |
422 |
$48K |
| L1920 |
Afo sing upright w/ adjust s |
237 |
142 |
$33K |
| E0570 |
Nebulizer with compression |
632 |
600 |
$21K |
| T4525 |
Adult size pull-on sm |
143 |
108 |
$17K |
| E0156 |
Walker seat attachment |
1,115 |
1,003 |
$15K |
| K0001 |
Standard wheelchair |
180 |
164 |
$13K |
| E0149 |
Heavy duty wheeled walker |
220 |
197 |
$11K |
| E1639 |
Scale, each |
369 |
360 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
76 |
76 |
$6K |
| L3809 |
Whfo w/o joints pre ots |
44 |
39 |
$6K |
| A5120 |
Skin barrier, wipe or swab |
1,010 |
892 |
$5K |
| T4523 |
Adult size brief/diaper lg |
31 |
25 |
$4K |
| T4522 |
Adult size brief/diaper med |
30 |
24 |
$3K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
13 |
13 |
$3K |
| L1833 |
Ko adj jnt pos r sup pre ots |
20 |
13 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
34 |
24 |
$2K |
| A7005 |
Nondisposable nebulizer set |
49 |
46 |
$2K |
| A4663 |
Dialysis blood pressure cuff |
217 |
215 |
$640.26 |
| A5512 |
Multi den insert direct form |
25 |
24 |
$603.64 |
| E0105 |
Cane adjust/fixed quad/3 pro |
14 |
13 |
$576.39 |
| A5500 |
Diab shoe for density insert |
12 |
12 |
$480.95 |