| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
4,099 |
3,858 |
$238K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
345 |
327 |
$45K |
| A4332 |
Lubricant, individual sterile packet, each |
2,878 |
2,689 |
$7K |
| A4402 |
Lubricant, per ounce |
219 |
218 |
$394.71 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
14 |
13 |
$93.75 |