| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
5,021 |
3,954 |
$2.38M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
4,468 |
3,861 |
$285K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
483 |
386 |
$101K |
| A4332 |
Lubricant, individual sterile packet, each |
2,565 |
2,351 |
$38K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
573 |
518 |
$37K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
229 |
204 |
$16K |
| A4554 |
Disposable underpads, all sizes |
639 |
570 |
$15K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
360 |
318 |
$13K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
303 |
273 |
$13K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
279 |
254 |
$10K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
73 |
65 |
$5K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,053 |
939 |
$4K |
| A5120 |
Skin barrier, wipes or swabs, each |
971 |
869 |
$3K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
43 |
36 |
$684.57 |