| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
11,151 |
10,341 |
$8.85M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
14,752 |
13,137 |
$1.22M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
4,229 |
3,721 |
$1.02M |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
4,322 |
3,923 |
$57K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
668 |
636 |
$53K |
| A7048 |
Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each |
485 |
297 |
$37K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
613 |
544 |
$33K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
220 |
201 |
$31K |
| A4927 |
Gloves, non-sterile, per 100 |
3,288 |
2,689 |
$27K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
343 |
317 |
$26K |
| A4332 |
Lubricant, individual sterile packet, each |
3,839 |
3,343 |
$24K |
| A4554 |
Disposable underpads, all sizes |
955 |
660 |
$22K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
3,747 |
3,359 |
$20K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
291 |
274 |
$11K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
408 |
362 |
$10K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,715 |
1,596 |
$8K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
202 |
183 |
$8K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
927 |
786 |
$8K |
| A4402 |
Lubricant, per ounce |
2,285 |
2,013 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
44 |
41 |
$7K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
230 |
220 |
$6K |
| A4335 |
Incontinence supply; miscellaneous |
128 |
89 |
$5K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
587 |
486 |
$4K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
55 |
49 |
$4K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
231 |
218 |
$4K |
| A4456 |
Adhesive remover, wipes, any type, each |
707 |
657 |
$3K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
400 |
383 |
$3K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
236 |
225 |
$3K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
67 |
59 |
$3K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
77 |
72 |
$2K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
40 |
38 |
$2K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
13 |
13 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
55 |
53 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
45 |
43 |
$1K |
| A4367 |
Ostomy belt, each |
265 |
249 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
15 |
$1K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
244 |
197 |
$1K |
| A4649 |
Surgical supply; miscellaneous |
79 |
65 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
25 |
24 |
$744.12 |
| A4371 |
Ostomy skin barrier, powder, per oz |
281 |
270 |
$688.90 |
| A7035 |
Headgear used with positive airway pressure device |
46 |
45 |
$676.85 |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
14 |
14 |
$618.70 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
81 |
73 |
$510.94 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$502.23 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
66 |
65 |
$479.65 |
| A4322 |
Irrigation syringe, bulb or piston, each |
28 |
24 |
$390.22 |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
87 |
84 |
$181.99 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
210 |
182 |
$151.80 |