| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
317 |
293 |
$236K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
140 |
132 |
$6K |
| A5120 |
Skin barrier, wipes or swabs, each |
733 |
668 |
$5K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
61 |
54 |
$4K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
312 |
266 |
$3K |
| A4456 |
Adhesive remover, wipes, any type, each |
326 |
291 |
$3K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
42 |
36 |
$2K |