| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
6,464 |
5,531 |
$4.56M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
4,142 |
3,664 |
$403K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
888 |
732 |
$250K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
992 |
877 |
$62K |
| A4554 |
Disposable underpads, all sizes |
1,662 |
1,443 |
$57K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
518 |
489 |
$56K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
569 |
495 |
$33K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
731 |
664 |
$30K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
717 |
627 |
$29K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
645 |
547 |
$27K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
524 |
451 |
$27K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,659 |
1,490 |
$26K |
| A4927 |
Gloves, non-sterile, per 100 |
1,489 |
1,299 |
$20K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
214 |
184 |
$17K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
459 |
409 |
$15K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
634 |
555 |
$11K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,007 |
896 |
$10K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
220 |
201 |
$10K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,656 |
1,424 |
$8K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,393 |
1,212 |
$8K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
605 |
535 |
$7K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
266 |
236 |
$5K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
240 |
211 |
$4K |
| A4402 |
Lubricant, per ounce |
1,046 |
907 |
$4K |
| A4371 |
Ostomy skin barrier, powder, per oz |
778 |
677 |
$3K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
95 |
76 |
$3K |
| A4332 |
Lubricant, individual sterile packet, each |
815 |
746 |
$2K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
15 |
13 |
$1K |
| A4367 |
Ostomy belt, each |
189 |
173 |
$799.68 |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
18 |
13 |
$632.16 |
| A4217 |
Sterile water/saline, 500 ml |
15 |
13 |
$568.84 |
| A4452 |
Tape, waterproof, per 18 square inches |
28 |
27 |
$386.99 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
39 |
38 |
$266.96 |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
26 |
24 |
$69.29 |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
14 |
13 |
$33.37 |