| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
256,953 |
252,667 |
$14.32M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
161,823 |
149,435 |
$8.98M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
87,677 |
86,012 |
$5.60M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
83,622 |
82,132 |
$4.41M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
55,424 |
54,405 |
$3.64M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
34,256 |
33,731 |
$3.29M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
13,194 |
13,084 |
$2.78M |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
188,885 |
186,185 |
$2.66M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
5,656 |
5,372 |
$2.50M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
24,874 |
24,504 |
$2.24M |
| A4335 |
Incontinence supply; miscellaneous |
181,521 |
178,943 |
$1.87M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
22,784 |
22,456 |
$1.73M |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
1,158 |
1,094 |
$1.02M |
| A6213 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
1,208 |
1,136 |
$868K |
| A4927 |
Gloves, non-sterile, per 100 |
39,461 |
38,518 |
$785K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
3,132 |
3,047 |
$706K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
6,288 |
6,227 |
$692K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
22,636 |
22,390 |
$661K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
13,001 |
12,770 |
$646K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
3,750 |
3,699 |
$623K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
1,179 |
1,100 |
$465K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
4,094 |
4,006 |
$451K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
5,187 |
5,047 |
$444K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
1,288 |
1,271 |
$395K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,666 |
1,646 |
$275K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,195 |
1,172 |
$220K |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
770 |
752 |
$195K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
2,571 |
2,548 |
$170K |
| B9998 |
Noc for enteral supplies |
1,882 |
1,823 |
$169K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
1,157 |
1,138 |
$168K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
4,509 |
4,439 |
$160K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,015 |
1,005 |
$153K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
1,592 |
1,573 |
$150K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
922 |
903 |
$150K |
| A4322 |
Irrigation syringe, bulb or piston, each |
2,278 |
2,080 |
$140K |
| A6223 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
1,173 |
1,151 |
$137K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
1,404 |
1,374 |
$135K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
8,078 |
7,966 |
$134K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
281 |
272 |
$121K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
2,346 |
2,301 |
$106K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,955 |
4,801 |
$95K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
2,862 |
2,797 |
$94K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
2,828 |
2,796 |
$94K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
1,378 |
1,351 |
$91K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
2,282 |
2,222 |
$89K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
854 |
831 |
$88K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
3,780 |
3,740 |
$88K |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
494 |
487 |
$86K |
| A4456 |
Adhesive remover, wipes, any type, each |
6,482 |
6,420 |
$81K |
| A5120 |
Skin barrier, wipes or swabs, each |
7,247 |
7,195 |
$72K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
2,353 |
2,319 |
$68K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
918 |
904 |
$67K |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
203 |
197 |
$62K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
819 |
810 |
$58K |
| A6235 |
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
116 |
110 |
$51K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
319 |
291 |
$47K |
| A4371 |
Ostomy skin barrier, powder, per oz |
3,260 |
3,241 |
$44K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
272 |
265 |
$38K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
267 |
258 |
$26K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
144 |
141 |
$25K |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
876 |
864 |
$17K |
| A4217 |
Sterile water/saline, 500 ml |
186 |
182 |
$14K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
76 |
71 |
$14K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
257 |
250 |
$14K |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
141 |
136 |
$13K |
| A4367 |
Ostomy belt, each |
1,379 |
1,374 |
$13K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,126 |
1,106 |
$13K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
96 |
93 |
$12K |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
155 |
155 |
$8K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
200 |
197 |
$7K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
55 |
53 |
$7K |
| A4402 |
Lubricant, per ounce |
1,303 |
1,293 |
$5K |
| A6220 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
36 |
36 |
$5K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
50 |
50 |
$4K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
15 |
13 |
$2K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
64 |
63 |
$908.71 |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
161 |
158 |
$808.18 |
| A4247 |
Betadine or iodine swabs/wipes, per box |
86 |
85 |
$569.69 |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
13 |
13 |
$510.01 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
13 |
12 |
$368.05 |
| A4331 |
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
12 |
12 |
$182.05 |
| A4245 |
Alcohol wipes, per box |
12 |
12 |
$21.94 |