| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
596 |
470 |
$160K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
1,001 |
811 |
$52K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
780 |
674 |
$32K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
678 |
602 |
$11K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
399 |
340 |
$9K |
| A4554 |
Disposable underpads, all sizes |
187 |
183 |
$3K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
571 |
468 |
$2K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
212 |
180 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
890 |
798 |
$2K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
126 |
102 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
648 |
602 |
$2K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
16 |
13 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
123 |
121 |
$1K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
344 |
295 |
$537.32 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
14 |
12 |
$25.69 |
| A4371 |
Ostomy skin barrier, powder, per oz |
14 |
12 |
$13.90 |