| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
4,053 |
3,430 |
$1.93M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
834 |
768 |
$183K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,018 |
970 |
$103K |
| A4554 |
Disposable underpads, all sizes |
4,008 |
3,786 |
$101K |
| A4335 |
Incontinence supply; miscellaneous |
5,800 |
5,504 |
$25K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
261 |
211 |
$20K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,703 |
1,538 |
$18K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,242 |
1,106 |
$8K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
433 |
403 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
1,150 |
1,088 |
$7K |
| A4402 |
Lubricant, per ounce |
1,191 |
1,079 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
38 |
37 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
13 |
13 |
$839.41 |
| A4322 |
Irrigation syringe, bulb or piston, each |
132 |
115 |
$457.63 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$338.76 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
59 |
52 |
$200.87 |