| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
2,833 |
1,985 |
$2.44M |
| A4351 |
Straight tip urine catheter |
1,293 |
919 |
$180K |
| A4385 |
Ost skn barrier sld ext wear |
663 |
485 |
$38K |
| A4554 |
Disposable underpads |
1,247 |
889 |
$30K |
| A4453 |
Rec cath any transanal, each |
23 |
12 |
$15K |
| A4322 |
Irrigation syringe |
659 |
569 |
$10K |
| A4406 |
Pectin based ostomy paste |
755 |
592 |
$10K |
| T5999 |
Supply, nos |
901 |
575 |
$10K |
| A4332 |
Lube sterile packet |
1,413 |
1,066 |
$9K |
| A4927 |
Non-sterile gloves |
778 |
513 |
$7K |
| A4425 |
Ost pch drain for barrier fl |
172 |
131 |
$6K |
| A4409 |
Ost skn barr convex <=4 sq i |
43 |
40 |
$4K |
| A4362 |
Solid skin barrier |
66 |
51 |
$3K |
| A5120 |
Skin barrier, wipe or swab |
210 |
171 |
$2K |
| A4458 |
Reusable enema bag |
538 |
432 |
$1K |
| A4371 |
Skin barrier powder per oz |
282 |
223 |
$559.43 |
| B4036 |
Enteral feed sup kit grav by |
46 |
26 |
$526.29 |
| A4310 |
Insert tray w/o bag/cath |
33 |
24 |
$359.37 |
| A4344 |
Cath indw foley 2 way silicn |
15 |
12 |
$261.42 |
| A4456 |
Adhesive remover, wipes |
45 |
36 |
$237.12 |
| A4394 |
Ostomy pouch liq deodorant |
17 |
12 |
$96.52 |
| A4367 |
Ostomy belt |
15 |
12 |
$55.68 |
| A4216 |
Sterile water/saline, 10 ml |
32 |
25 |
$0.00 |