| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4383 |
Ostomy pouch, urinary, for use on faceplate, rubber, each |
437 |
399 |
$1.07M |
| A4380 |
Ostomy pouch, urinary, with faceplate attached, rubber, each |
200 |
196 |
$614K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
155 |
142 |
$127K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
198 |
194 |
$127K |
| A4429 |
Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
92 |
90 |
$122K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
14 |
13 |
$10K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
37 |
37 |
$2K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
15 |
15 |
$565.00 |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
15 |
15 |
$323.55 |