| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
594 |
560 |
$60K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
887 |
774 |
$40K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
281 |
265 |
$22K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
117 |
114 |
$16K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
798 |
678 |
$13K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,083 |
940 |
$8K |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
17 |
12 |
$3K |
| A5120 |
Skin barrier, wipes or swabs, each |
713 |
617 |
$3K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
18 |
15 |
$2K |
| A4371 |
Ostomy skin barrier, powder, per oz |
251 |
207 |
$1K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
43 |
39 |
$872.74 |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
130 |
121 |
$425.91 |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
43 |
40 |
$271.95 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
14 |
13 |
$196.69 |