| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
313 |
299 |
$14K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
349 |
338 |
$12K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
475 |
458 |
$11K |
| T4541 |
Incontinence product, disposable underpad, large, each |
230 |
225 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
350 |
347 |
$5K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
148 |
148 |
$5K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
58 |
57 |
$4K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
488 |
475 |
$3K |
| A4335 |
Incontinence supply; miscellaneous |
142 |
139 |
$3K |
| A4456 |
Adhesive remover, wipes, any type, each |
609 |
595 |
$2K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
27 |
27 |
$2K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
29 |
25 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
25 |
25 |
$884.16 |
| A5120 |
Skin barrier, wipes or swabs, each |
392 |
379 |
$854.92 |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
12 |
12 |
$543.48 |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
14 |
13 |
$187.14 |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
12 |
12 |
$145.72 |
| A4371 |
Ostomy skin barrier, powder, per oz |
15 |
14 |
$21.24 |