| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,828 |
5,738 |
$901K |
| A4554 |
Disposable underpads, all sizes |
20,380 |
20,134 |
$744K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,659 |
3,615 |
$689K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,102 |
4,993 |
$637K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,036 |
5,981 |
$252K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,965 |
1,933 |
$227K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
517 |
492 |
$143K |
| A4335 |
Incontinence supply; miscellaneous |
22,467 |
22,190 |
$123K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
857 |
839 |
$97K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
559 |
552 |
$96K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
168 |
163 |
$86K |
| K0003 |
Lightweight wheelchair |
602 |
594 |
$29K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
4,619 |
4,585 |
$24K |
| A4670 |
Automatic blood pressure monitor |
171 |
170 |
$10K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
380 |
365 |
$7K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
16 |
16 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
111 |
111 |
$471.74 |