| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
11,151 |
10,341 |
$8.85M |
| A4351 |
Straight tip urine catheter |
14,752 |
13,137 |
$1.22M |
| A4352 |
Coude tip urinary catheter |
4,229 |
3,721 |
$1.02M |
| A4357 |
Bedside drainage bag |
4,322 |
3,923 |
$57K |
| A4385 |
Ost skn barrier sld ext wear |
668 |
636 |
$53K |
| A7048 |
Vacuum drain bottle/tube kit |
485 |
297 |
$37K |
| A4349 |
Disposable male external cat |
613 |
544 |
$33K |
| A4344 |
Cath indw foley 2 way silicn |
220 |
201 |
$31K |
| A4927 |
Non-sterile gloves |
3,288 |
2,689 |
$27K |
| A4409 |
Ost skn barr convex <=4 sq i |
343 |
317 |
$26K |
| A4332 |
Lube sterile packet |
3,839 |
3,343 |
$24K |
| A4554 |
Disposable underpads |
955 |
660 |
$22K |
| A4358 |
Urinary leg or abdomen bag |
3,747 |
3,359 |
$20K |
| A4425 |
Ost pch drain for barrier fl |
291 |
274 |
$11K |
| A4310 |
Insert tray w/o bag/cath |
408 |
362 |
$10K |
| A5120 |
Skin barrier, wipe or swab |
1,715 |
1,596 |
$8K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
202 |
183 |
$8K |
| A4338 |
Indwelling catheter latex |
927 |
786 |
$8K |
| A4402 |
Lubricant per ounce |
2,285 |
2,013 |
$8K |
| E0601 |
Cont airway pressure device |
44 |
41 |
$7K |
| A5063 |
Drain ostomy pouch w/flange |
230 |
220 |
$6K |
| A4335 |
Incontinence supply |
128 |
89 |
$5K |
| A4520 |
Incontinence garment anytype |
587 |
486 |
$4K |
| A4407 |
Ext wear ost skn barr <=4sq" |
55 |
49 |
$4K |
| A4394 |
Ostomy pouch liq deodorant |
231 |
218 |
$4K |
| A4456 |
Adhesive remover, wipes |
707 |
657 |
$3K |
| A4333 |
Urinary cath anchor device |
400 |
383 |
$3K |
| A4213 |
20+ cc syringe only |
236 |
225 |
$3K |
| T4522 |
Adult size brief/diaper med |
67 |
59 |
$3K |
| A4362 |
Solid skin barrier |
77 |
72 |
$2K |
| T4523 |
Adult size brief/diaper lg |
40 |
38 |
$2K |
| T4534 |
Youth size pull-on |
13 |
13 |
$2K |
| E0562 |
Humidifier heated used w pap |
55 |
53 |
$2K |
| A4604 |
Tubing with heating element |
45 |
43 |
$1K |
| A4367 |
Ostomy belt |
265 |
249 |
$1K |
| A7030 |
Cpap full face mask |
15 |
15 |
$1K |
| A4314 |
Cath w/drainage 2-way latex |
244 |
197 |
$1K |
| A4649 |
Surgical supplies |
79 |
65 |
$1K |
| T4535 |
Disposable liner/shield/pad |
25 |
24 |
$744.12 |
| A4371 |
Skin barrier powder per oz |
281 |
270 |
$688.90 |
| A7035 |
Pos airway press headgear |
46 |
45 |
$676.85 |
| T4527 |
Adult size pull-on lg |
14 |
14 |
$618.70 |
| A7038 |
Pos airway pressure filter |
81 |
73 |
$510.94 |
| A7034 |
Nasal application device |
13 |
13 |
$502.23 |
| A4406 |
Pectin based ostomy paste |
66 |
65 |
$479.65 |
| A4322 |
Irrigation syringe |
28 |
24 |
$390.22 |
| A4455 |
Adhesive remover per ounce |
87 |
84 |
$181.99 |
| A4334 |
Urinary cath leg strap |
210 |
182 |
$151.80 |