| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
404 |
335 |
$26K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
308 |
263 |
$25K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
40 |
37 |
$8K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
37 |
36 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
397 |
342 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
250 |
218 |
$2K |
| A4371 |
Ostomy skin barrier, powder, per oz |
263 |
230 |
$2K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
15 |
12 |
$541.80 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
14 |
12 |
$308.56 |