| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
4,366 |
3,877 |
$3.98M |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,773 |
4,396 |
$280K |
| A4927 |
Gloves, non-sterile, per 100 |
4,652 |
4,286 |
$57K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
338 |
297 |
$28K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
92 |
88 |
$16K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
415 |
384 |
$14K |
| A4402 |
Lubricant, per ounce |
1,969 |
1,811 |
$12K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
45 |
36 |
$8K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
41 |
37 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
17 |
14 |
$2K |
| A4452 |
Tape, waterproof, per 18 square inches |
36 |
36 |
$1K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$799.62 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
47 |
38 |
$428.82 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
25 |
25 |
$399.40 |