| Code | Description | Claims | Beneficiaries | Total Paid |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
6,025 |
5,555 |
$3.63M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
7,407 |
6,477 |
$987K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
7,274 |
6,895 |
$834K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
1,443 |
1,262 |
$702K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
14,160 |
13,515 |
$665K |
| A4927 |
Gloves, non-sterile, per 100 |
35,927 |
34,314 |
$659K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,779 |
5,584 |
$639K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,626 |
5,377 |
$590K |
| T4541 |
Incontinence product, disposable underpad, large, each |
15,130 |
14,401 |
$584K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,127 |
4,934 |
$582K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
6,540 |
6,226 |
$565K |
| A4554 |
Disposable underpads, all sizes |
14,548 |
13,957 |
$543K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,783 |
3,628 |
$447K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,158 |
1,985 |
$315K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
4,520 |
3,793 |
$149K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
756 |
682 |
$144K |
| A4553 |
Non-disposable underpads, all sizes |
9,426 |
8,948 |
$143K |
| T5999 |
Supply, not otherwise specified |
2,644 |
1,983 |
$128K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
2,370 |
2,227 |
$121K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
2,076 |
1,933 |
$116K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
2,135 |
1,777 |
$96K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
880 |
846 |
$90K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
882 |
842 |
$89K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
3,725 |
3,061 |
$84K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
1,115 |
1,039 |
$76K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,448 |
1,365 |
$53K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
400 |
392 |
$36K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,867 |
1,840 |
$36K |
| A4335 |
Incontinence supply; miscellaneous |
2,649 |
2,607 |
$35K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
1,580 |
1,439 |
$32K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
470 |
427 |
$32K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
801 |
766 |
$27K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
844 |
789 |
$27K |
| A5120 |
Skin barrier, wipes or swabs, each |
3,080 |
2,853 |
$23K |
| A4402 |
Lubricant, per ounce |
2,609 |
2,312 |
$22K |
| A4217 |
Sterile water/saline, 500 ml |
1,052 |
944 |
$20K |
| A4456 |
Adhesive remover, wipes, any type, each |
2,489 |
2,337 |
$19K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
358 |
344 |
$18K |
| A4332 |
Lubricant, individual sterile packet, each |
1,561 |
1,396 |
$17K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
1,439 |
1,343 |
$17K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,327 |
1,173 |
$16K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,450 |
1,445 |
$16K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
273 |
255 |
$10K |
| A4322 |
Irrigation syringe, bulb or piston, each |
737 |
623 |
$10K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
66 |
65 |
$9K |
| A4371 |
Ostomy skin barrier, powder, per oz |
1,403 |
1,304 |
$7K |
| A4331 |
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
360 |
342 |
$4K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
366 |
341 |
$3K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
63 |
49 |
$3K |
| A4367 |
Ostomy belt, each |
543 |
500 |
$2K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
83 |
77 |
$2K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
73 |
66 |
$2K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
14 |
13 |
$2K |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
313 |
292 |
$2K |
| A4452 |
Tape, waterproof, per 18 square inches |
111 |
104 |
$1K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
13 |
12 |
$380.16 |
| A4247 |
Betadine or iodine swabs/wipes, per box |
50 |
49 |
$329.41 |
| A4245 |
Alcohol wipes, per box |
114 |
111 |
$229.58 |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
12 |
12 |
$146.30 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
12 |
12 |
$59.32 |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
13 |
12 |
$19.05 |