| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4408 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each |
1,326 |
1,199 |
$53K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,859 |
1,640 |
$47K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
303 |
264 |
$9K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
499 |
439 |
$6K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
447 |
423 |
$2K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
471 |
408 |
$1K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
99 |
91 |
$850.04 |
| A5120 |
Skin barrier, wipes or swabs, each |
41 |
39 |
$61.49 |