| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
5,467 |
4,107 |
$1.60M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
3,822 |
2,994 |
$256K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
3,978 |
2,068 |
$38K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,714 |
1,484 |
$21K |
| A4927 |
Gloves, non-sterile, per 100 |
2,011 |
1,598 |
$20K |
| A4452 |
Tape, waterproof, per 18 square inches |
795 |
710 |
$9K |
| A4402 |
Lubricant, per ounce |
2,139 |
1,919 |
$7K |
| A4217 |
Sterile water/saline, 500 ml |
39 |
36 |
$971.59 |
| A4332 |
Lubricant, individual sterile packet, each |
283 |
215 |
$955.69 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
115 |
113 |
$429.52 |
| A4322 |
Irrigation syringe, bulb or piston, each |
14 |
12 |
$0.00 |