| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
816 |
765 |
$228K |
| T4541 |
Incontinence product, disposable underpad, large, each |
470 |
451 |
$23K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
41 |
39 |
$23K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
95 |
89 |
$7K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
108 |
105 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
333 |
311 |
$4K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
59 |
57 |
$3K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
56 |
54 |
$2K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
216 |
207 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
114 |
110 |
$995.79 |
| A5120 |
Skin barrier, wipes or swabs, each |
142 |
137 |
$863.65 |
| A4456 |
Adhesive remover, wipes, any type, each |
14 |
13 |
$135.23 |
| A4371 |
Ostomy skin barrier, powder, per oz |
39 |
38 |
$24.19 |