| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
8,460 |
7,155 |
$5.02M |
| A4927 |
Non-sterile gloves |
7,633 |
7,011 |
$162K |
| A4554 |
Disposable underpads |
3,039 |
2,760 |
$104K |
| A4349 |
Disposable male external cat |
979 |
891 |
$19K |
| A4402 |
Lubricant per ounce |
5,858 |
5,342 |
$17K |
| A4310 |
Insert tray w/o bag/cath |
1,708 |
1,596 |
$14K |
| A6212 |
Foam drg <=16 sq in w/border |
162 |
119 |
$9K |
| A4357 |
Bedside drainage bag |
1,545 |
1,443 |
$9K |
| A4338 |
Indwelling catheter latex |
681 |
615 |
$6K |
| A9270 |
Non-covered item or service |
374 |
288 |
$6K |
| A4358 |
Urinary leg or abdomen bag |
1,648 |
1,544 |
$5K |
| A4331 |
Extension drainage tubing |
1,926 |
1,777 |
$5K |
| A5120 |
Skin barrier, wipe or swab |
376 |
343 |
$2K |
| A4649 |
Surgical supplies |
63 |
53 |
$994.50 |
| A4344 |
Cath indw foley 2 way silicn |
112 |
103 |
$524.20 |
| A4332 |
Lube sterile packet |
50 |
48 |
$520.56 |
| A4520 |
Incontinence garment anytype |
245 |
201 |
$518.51 |
| A4245 |
Alcohol wipes per box |
69 |
60 |
$435.00 |
| A9286 |
Any hygienic item, device |
690 |
521 |
$246.90 |