| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4542 |
Incontinence product, disposable underpad, small size, each |
1,419 |
1,202 |
$75K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,022 |
887 |
$61K |
| A4927 |
Gloves, non-sterile, per 100 |
1,445 |
1,173 |
$20K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
1,260 |
1,250 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
321 |
221 |
$4K |
| E0570 |
Nebulizer, with compressor |
70 |
58 |
$3K |
| K0001 |
Standard wheelchair |
208 |
117 |
$879.95 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
24 |
13 |
$183.09 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
17 |
12 |
$84.35 |