| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
20,177 |
18,171 |
$3.32M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
4,424 |
4,217 |
$1.18M |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
1,092 |
1,051 |
$259K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
883 |
827 |
$210K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
908 |
885 |
$65K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,985 |
2,841 |
$44K |
| A4927 |
Gloves, non-sterile, per 100 |
2,702 |
2,641 |
$40K |
| A4332 |
Lubricant, individual sterile packet, each |
5,411 |
5,141 |
$28K |
| A4322 |
Irrigation syringe, bulb or piston, each |
1,776 |
1,737 |
$28K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
384 |
370 |
$19K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
407 |
398 |
$16K |
| T4541 |
Incontinence product, disposable underpad, large, each |
452 |
443 |
$15K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
221 |
219 |
$14K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,300 |
1,208 |
$11K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
240 |
236 |
$11K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
166 |
160 |
$7K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,453 |
1,405 |
$6K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,638 |
1,591 |
$5K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
41 |
39 |
$3K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
94 |
92 |
$3K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
93 |
90 |
$1K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
250 |
245 |
$1K |
| A4371 |
Ostomy skin barrier, powder, per oz |
152 |
150 |
$747.02 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
12 |
12 |
$80.40 |
| A4367 |
Ostomy belt, each |
13 |
12 |
$46.32 |