| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
3,277 |
3,115 |
$221K |
| A6534 |
Gc stocking thighlngth 30-40 |
2,724 |
2,102 |
$220K |
| T4527 |
Adult size pull-on lg |
1,483 |
1,451 |
$191K |
| T4526 |
Adult size pull-on med |
1,366 |
1,327 |
$163K |
| T4535 |
Disposable liner/shield/pad |
1,393 |
1,355 |
$70K |
| A6530 |
Compression stocking bk18-30 |
1,191 |
967 |
$65K |
| A6533 |
Gc stocking thighlngth 18-30 |
467 |
349 |
$33K |
| E0247 |
Trans bench w/wo comm open |
292 |
275 |
$30K |
| A4670 |
Automatic bp monitor, dial |
431 |
415 |
$26K |
| E0240 |
Bath/shower chair |
234 |
225 |
$24K |
| A4927 |
Non-sterile gloves |
555 |
543 |
$8K |
| E0243 |
Toilet rail |
115 |
108 |
$6K |
| A6531 |
Compress stking bk30-40 surg |
100 |
81 |
$5K |
| E0244 |
Toilet seat raised |
59 |
54 |
$1K |
| E0241 |
Bath tub wall rail |
38 |
33 |
$960.88 |
| E0156 |
Walker seat attachment |
12 |
12 |
$235.92 |