| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
3,429 |
2,995 |
$1.93M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,469 |
1,408 |
$154K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
1,463 |
1,111 |
$149K |
| A4554 |
Disposable underpads, all sizes |
2,451 |
2,337 |
$121K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,518 |
1,445 |
$56K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
650 |
578 |
$56K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
959 |
779 |
$47K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
411 |
401 |
$44K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,128 |
915 |
$43K |
| A4927 |
Gloves, non-sterile, per 100 |
1,684 |
1,559 |
$40K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
465 |
439 |
$38K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
305 |
292 |
$23K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
381 |
346 |
$23K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
143 |
132 |
$16K |
| A4332 |
Lubricant, individual sterile packet, each |
420 |
324 |
$15K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
98 |
96 |
$14K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
193 |
184 |
$12K |
| A4245 |
Alcohol wipes, per box |
546 |
534 |
$8K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,120 |
721 |
$6K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
102 |
80 |
$3K |
| A4402 |
Lubricant, per ounce |
116 |
88 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
47 |
39 |
$2K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
26 |
13 |
$1K |