| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4385 |
Ost skn barrier sld ext wear |
594 |
560 |
$60K |
| A4362 |
Solid skin barrier |
887 |
774 |
$40K |
| A4425 |
Ost pch drain for barrier fl |
281 |
265 |
$22K |
| A4409 |
Ost skn barr convex <=4 sq i |
117 |
114 |
$16K |
| A4394 |
Ostomy pouch liq deodorant |
798 |
678 |
$13K |
| A4456 |
Adhesive remover, wipes |
1,083 |
940 |
$8K |
| A5057 |
1 pc ost pou w built-in conv |
17 |
12 |
$3K |
| A5120 |
Skin barrier, wipe or swab |
713 |
617 |
$3K |
| A4351 |
Straight tip urine catheter |
18 |
15 |
$2K |
| A4371 |
Skin barrier powder per oz |
251 |
207 |
$1K |
| A4406 |
Pectin based ostomy paste |
43 |
39 |
$872.74 |
| A4455 |
Adhesive remover per ounce |
130 |
121 |
$425.91 |
| A4369 |
Skin barrier liquid per oz |
43 |
40 |
$271.95 |
| A4357 |
Bedside drainage bag |
14 |
13 |
$196.69 |