| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
2,697 |
2,506 |
$1.80M |
| A4352 |
Coude tip urinary catheter |
1,559 |
1,454 |
$202K |
| A4351 |
Straight tip urine catheter |
6,195 |
5,846 |
$105K |
| A4332 |
Lube sterile packet |
3,955 |
3,744 |
$11K |
| A4385 |
Ost skn barrier sld ext wear |
518 |
490 |
$7K |
| A4407 |
Ext wear ost skn barr <=4sq" |
242 |
225 |
$6K |
| A4409 |
Ost skn barr convex <=4 sq i |
228 |
217 |
$3K |
| A4357 |
Bedside drainage bag |
1,045 |
990 |
$3K |
| A4362 |
Solid skin barrier |
246 |
238 |
$3K |
| A4432 |
Os pch urine w bar/fange/tap |
244 |
227 |
$2K |
| A4456 |
Adhesive remover, wipes |
1,121 |
1,063 |
$2K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
124 |
114 |
$1K |
| A5120 |
Skin barrier, wipe or swab |
1,023 |
965 |
$1K |
| A5063 |
Drain ostomy pouch w/flange |
52 |
51 |
$478.46 |
| B4036 |
Enteral feed sup kit grav by |
80 |
74 |
$268.89 |
| A4213 |
20+ cc syringe only |
12 |
12 |
$265.91 |
| A4402 |
Lubricant per ounce |
83 |
79 |
$250.58 |
| A4358 |
Urinary leg or abdomen bag |
128 |
121 |
$220.38 |
| A4371 |
Skin barrier powder per oz |
177 |
169 |
$90.54 |
| A4394 |
Ostomy pouch liq deodorant |
12 |
12 |
$41.62 |
| A4406 |
Pectin based ostomy paste |
13 |
13 |
$31.77 |