| Code | Description | Claims | Beneficiaries | Total Paid |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
15,003 |
13,700 |
$4.98M |
| T5999 |
Supply, not otherwise specified |
1,518 |
1,109 |
$621K |
| T4541 |
Incontinence product, disposable underpad, large, each |
13,554 |
13,350 |
$591K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,702 |
3,667 |
$334K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
731 |
713 |
$268K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,318 |
1,311 |
$207K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
325 |
320 |
$139K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,728 |
2,695 |
$136K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
575 |
561 |
$130K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,695 |
1,680 |
$127K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,501 |
3,276 |
$121K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,260 |
1,256 |
$118K |
| A4322 |
Irrigation syringe, bulb or piston, each |
2,004 |
1,971 |
$107K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,030 |
1,019 |
$101K |
| A4927 |
Gloves, non-sterile, per 100 |
7,829 |
7,414 |
$92K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
1,182 |
1,130 |
$90K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
3,962 |
3,231 |
$83K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,253 |
1,233 |
$76K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
1,000 |
876 |
$75K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,025 |
981 |
$44K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
93 |
87 |
$42K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
509 |
498 |
$30K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
2,955 |
2,328 |
$30K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
313 |
284 |
$28K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
1,002 |
909 |
$26K |
| A4332 |
Lubricant, individual sterile packet, each |
2,466 |
2,412 |
$18K |
| A4402 |
Lubricant, per ounce |
3,946 |
3,359 |
$15K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
493 |
378 |
$8K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
165 |
162 |
$8K |
| A4456 |
Adhesive remover, wipes, any type, each |
906 |
854 |
$7K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,447 |
1,287 |
$7K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
505 |
462 |
$2K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
16 |
13 |
$2K |
| A4371 |
Ostomy skin barrier, powder, per oz |
549 |
528 |
$2K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
26 |
25 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
43 |
38 |
$398.35 |
| A4367 |
Ostomy belt, each |
109 |
105 |
$307.77 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
120 |
103 |
$267.35 |
| A4335 |
Incontinence supply; miscellaneous |
49 |
49 |
$257.19 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
16 |
14 |
$204.77 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
13 |
12 |
$90.71 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
20 |
12 |
$9.88 |