| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
21,210 |
16,781 |
$13.44M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
10,866 |
9,801 |
$795K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
2,173 |
1,947 |
$478K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
3,506 |
3,292 |
$290K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
826 |
811 |
$85K |
| A4927 |
Gloves, non-sterile, per 100 |
3,760 |
3,476 |
$73K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
774 |
736 |
$69K |
| A4554 |
Disposable underpads, all sizes |
1,567 |
1,466 |
$54K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
1,466 |
1,377 |
$51K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
569 |
538 |
$46K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
2,095 |
1,985 |
$46K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
3,778 |
3,597 |
$44K |
| A4332 |
Lubricant, individual sterile packet, each |
5,961 |
5,402 |
$39K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,318 |
2,203 |
$38K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
672 |
619 |
$27K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
225 |
214 |
$24K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
713 |
664 |
$18K |
| A4217 |
Sterile water/saline, 500 ml |
551 |
496 |
$10K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,610 |
1,473 |
$10K |
| A4402 |
Lubricant, per ounce |
1,891 |
1,842 |
$9K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
155 |
151 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
159 |
156 |
$6K |
| A4322 |
Irrigation syringe, bulb or piston, each |
339 |
313 |
$6K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,070 |
978 |
$6K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
64 |
61 |
$5K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,151 |
1,054 |
$5K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
103 |
98 |
$2K |
| A4371 |
Ostomy skin barrier, powder, per oz |
55 |
52 |
$179.62 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
13 |
13 |
$110.76 |