| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
21,210 |
16,781 |
$13.44M |
| A4351 |
Straight tip urine catheter |
10,866 |
9,801 |
$795K |
| A4352 |
Coude tip urinary catheter |
2,173 |
1,947 |
$478K |
| A4344 |
Cath indw foley 2 way silicn |
3,506 |
3,292 |
$290K |
| T4534 |
Youth size pull-on |
826 |
811 |
$85K |
| A4927 |
Non-sterile gloves |
3,760 |
3,476 |
$73K |
| T4526 |
Adult size pull-on med |
774 |
736 |
$69K |
| A4554 |
Disposable underpads |
1,567 |
1,466 |
$54K |
| A4310 |
Insert tray w/o bag/cath |
1,466 |
1,377 |
$51K |
| A4385 |
Ost skn barrier sld ext wear |
569 |
538 |
$46K |
| A4213 |
20+ cc syringe only |
2,095 |
1,985 |
$46K |
| A4357 |
Bedside drainage bag |
3,778 |
3,597 |
$44K |
| A4332 |
Lube sterile packet |
5,961 |
5,402 |
$39K |
| B4036 |
Enteral feed sup kit grav by |
2,318 |
2,203 |
$38K |
| A4425 |
Ost pch drain for barrier fl |
672 |
619 |
$27K |
| A4407 |
Ext wear ost skn barr <=4sq" |
225 |
214 |
$24K |
| A4338 |
Indwelling catheter latex |
713 |
664 |
$18K |
| A4217 |
Sterile water/saline, 500 ml |
551 |
496 |
$10K |
| A4358 |
Urinary leg or abdomen bag |
1,610 |
1,473 |
$10K |
| A4402 |
Lubricant per ounce |
1,891 |
1,842 |
$9K |
| A4362 |
Solid skin barrier |
155 |
151 |
$9K |
| T4535 |
Disposable liner/shield/pad |
159 |
156 |
$6K |
| A4322 |
Irrigation syringe |
339 |
313 |
$6K |
| A4456 |
Adhesive remover, wipes |
1,070 |
978 |
$6K |
| A4409 |
Ost skn barr convex <=4 sq i |
64 |
61 |
$5K |
| A5120 |
Skin barrier, wipe or swab |
1,151 |
1,054 |
$5K |
| A4394 |
Ostomy pouch liq deodorant |
103 |
98 |
$2K |
| A4371 |
Skin barrier powder per oz |
55 |
52 |
$179.62 |
| A4333 |
Urinary cath anchor device |
13 |
13 |
$110.76 |