| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4409 |
Ost skn barr convex <=4 sq i |
4,562 |
4,167 |
$161K |
| A4385 |
Ost skn barrier sld ext wear |
5,483 |
4,915 |
$120K |
| A4407 |
Ext wear ost skn barr <=4sq" |
2,410 |
2,219 |
$105K |
| A4425 |
Ost pch drain for barrier fl |
3,532 |
3,269 |
$80K |
| A4362 |
Solid skin barrier |
2,987 |
2,706 |
$52K |
| A4394 |
Ostomy pouch liq deodorant |
3,649 |
3,241 |
$32K |
| A4419 |
Ost pch for bar w flange/flt |
1,229 |
1,105 |
$30K |
| A5063 |
Drain ostomy pouch w/flange |
2,161 |
1,951 |
$30K |
| A4456 |
Adhesive remover, wipes |
5,692 |
5,136 |
$26K |
| A4432 |
Os pch urine w bar/fange/tap |
833 |
764 |
$18K |
| A5056 |
1 pc ost pouch w filter |
523 |
505 |
$17K |
| A5057 |
1 pc ost pou w built-in conv |
212 |
195 |
$16K |
| A5120 |
Skin barrier, wipe or swab |
4,312 |
3,872 |
$16K |
| A4353 |
Intermittent urinary cath |
26 |
24 |
$14K |
| A4406 |
Pectin based ostomy paste |
1,509 |
1,349 |
$10K |
| A4357 |
Bedside drainage bag |
1,571 |
1,408 |
$8K |
| A4371 |
Skin barrier powder per oz |
2,115 |
1,917 |
$7K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
248 |
167 |
$6K |
| A4367 |
Ostomy belt |
819 |
755 |
$4K |
| A4388 |
Drainable pch w ex wear barr |
114 |
104 |
$3K |