| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
2,697 |
2,506 |
$1.80M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
1,559 |
1,454 |
$202K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
6,195 |
5,846 |
$105K |
| A4332 |
Lubricant, individual sterile packet, each |
3,955 |
3,744 |
$11K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
518 |
490 |
$7K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
242 |
225 |
$6K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
228 |
217 |
$3K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,045 |
990 |
$3K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
246 |
238 |
$3K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
244 |
227 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,121 |
1,063 |
$2K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
124 |
114 |
$1K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,023 |
965 |
$1K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
52 |
51 |
$478.46 |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
80 |
74 |
$268.89 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
12 |
12 |
$265.91 |
| A4402 |
Lubricant, per ounce |
83 |
79 |
$250.58 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
128 |
121 |
$220.38 |
| A4371 |
Ostomy skin barrier, powder, per oz |
177 |
169 |
$90.54 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
12 |
12 |
$41.62 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
13 |
13 |
$31.77 |