| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
1,853 |
1,646 |
$611K |
| A4927 |
Gloves, non-sterile, per 100 |
1,825 |
1,666 |
$15K |
| T4541 |
Incontinence product, disposable underpad, large, each |
266 |
263 |
$11K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
70 |
68 |
$6K |
| A4402 |
Lubricant, per ounce |
1,077 |
907 |
$3K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
51 |
48 |
$334.54 |