| Code | Description | Claims | Beneficiaries | Total Paid |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
4,753 |
3,488 |
$695K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
177 |
134 |
$92K |
| A4554 |
Disposable underpads, all sizes |
3,574 |
2,939 |
$82K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
742 |
637 |
$66K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
647 |
529 |
$56K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
525 |
443 |
$53K |
| A4927 |
Gloves, non-sterile, per 100 |
3,474 |
2,808 |
$31K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
230 |
186 |
$21K |
| A4402 |
Lubricant, per ounce |
1,325 |
1,154 |
$16K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
132 |
124 |
$13K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
186 |
89 |
$6K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
15 |
12 |
$808.92 |
| A5120 |
Skin barrier, wipes or swabs, each |
28 |
13 |
$57.00 |