| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
8,460 |
7,155 |
$5.02M |
| A4927 |
Gloves, non-sterile, per 100 |
7,633 |
7,011 |
$162K |
| A4554 |
Disposable underpads, all sizes |
3,039 |
2,760 |
$104K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
979 |
891 |
$19K |
| A4402 |
Lubricant, per ounce |
5,858 |
5,342 |
$17K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
1,708 |
1,596 |
$14K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
162 |
119 |
$9K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,545 |
1,443 |
$9K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
681 |
615 |
$6K |
| A9270 |
Non-covered item or service |
374 |
288 |
$6K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,648 |
1,544 |
$5K |
| A4331 |
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
1,926 |
1,777 |
$5K |
| A5120 |
Skin barrier, wipes or swabs, each |
376 |
343 |
$2K |
| A4649 |
Surgical supply; miscellaneous |
63 |
53 |
$994.50 |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
112 |
103 |
$524.20 |
| A4332 |
Lubricant, individual sterile packet, each |
50 |
48 |
$520.56 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
245 |
201 |
$518.51 |
| A4245 |
Alcohol wipes, per box |
69 |
60 |
$435.00 |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
690 |
521 |
$246.90 |