| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
2,126 |
1,578 |
$1.54M |
| A4453 |
Rec cath any transanal, each |
754 |
402 |
$510K |
| A4554 |
Disposable underpads |
7,469 |
5,970 |
$331K |
| T4534 |
Youth size pull-on |
2,251 |
1,814 |
$242K |
| A4351 |
Straight tip urine catheter |
1,817 |
1,427 |
$236K |
| A4927 |
Non-sterile gloves |
6,763 |
5,342 |
$163K |
| T4526 |
Adult size pull-on med |
1,306 |
1,087 |
$145K |
| T4527 |
Adult size pull-on lg |
1,107 |
869 |
$115K |
| A4459 |
Transanal irrigation, any |
991 |
550 |
$106K |
| A4385 |
Ost skn barrier sld ext wear |
1,516 |
1,181 |
$97K |
| A4409 |
Ost skn barr convex <=4 sq i |
1,133 |
863 |
$82K |
| T4528 |
Adult size pull-on xl |
773 |
572 |
$71K |
| T4522 |
Adult size brief/diaper med |
589 |
464 |
$60K |
| A4362 |
Solid skin barrier |
1,123 |
926 |
$52K |
| T4530 |
Ped size brief/diaper lg |
439 |
382 |
$40K |
| A9270 |
Non-covered item or service |
25 |
12 |
$23K |
| A4425 |
Ost pch drain for barrier fl |
486 |
363 |
$19K |
| A4394 |
Ostomy pouch liq deodorant |
1,347 |
1,059 |
$16K |
| A4406 |
Pectin based ostomy paste |
879 |
705 |
$12K |
| A5063 |
Drain ostomy pouch w/flange |
340 |
244 |
$12K |
| A4670 |
Automatic bp monitor, dial |
216 |
176 |
$11K |
| A4357 |
Bedside drainage bag |
711 |
500 |
$11K |
| A4335 |
Incontinence supply |
1,350 |
1,117 |
$10K |
| A4456 |
Adhesive remover, wipes |
1,580 |
1,263 |
$9K |
| A5120 |
Skin barrier, wipe or swab |
1,859 |
1,433 |
$8K |
| A5121 |
Solid skin barrier 6x6 |
80 |
76 |
$7K |
| A4407 |
Ext wear ost skn barr <=4sq" |
75 |
65 |
$6K |
| A4371 |
Skin barrier powder per oz |
894 |
727 |
$5K |
| A4427 |
Ost pch drain/barr lk flng/f |
82 |
79 |
$2K |
| T4523 |
Adult size brief/diaper lg |
14 |
12 |
$2K |
| A4455 |
Adhesive remover per ounce |
138 |
119 |
$514.04 |
| A4367 |
Ostomy belt |
28 |
26 |
$58.09 |