| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
6,064 |
5,012 |
$3.11M |
| A4453 |
Rec cath any transanal, each |
66 |
63 |
$107K |
| A4385 |
Ost skn barrier sld ext wear |
1,180 |
1,049 |
$52K |
| E1399 |
Durable medical equipment mi |
46 |
38 |
$43K |
| A4459 |
Transanal irrigation, any |
63 |
52 |
$29K |
| A4351 |
Straight tip urine catheter |
497 |
441 |
$24K |
| A4357 |
Bedside drainage bag |
1,787 |
1,596 |
$16K |
| A4409 |
Ost skn barr convex <=4 sq i |
215 |
190 |
$14K |
| A4362 |
Solid skin barrier |
1,252 |
1,141 |
$12K |
| A4352 |
Coude tip urinary catheter |
104 |
95 |
$11K |
| A4217 |
Sterile water/saline, 500 ml |
508 |
427 |
$9K |
| A4520 |
Incontinence garment anytype |
188 |
136 |
$9K |
| A4358 |
Urinary leg or abdomen bag |
1,279 |
1,159 |
$6K |
| A4554 |
Disposable underpads |
295 |
244 |
$5K |
| A4394 |
Ostomy pouch liq deodorant |
410 |
363 |
$4K |
| A5120 |
Skin barrier, wipe or swab |
1,379 |
1,226 |
$4K |
| A4456 |
Adhesive remover, wipes |
1,150 |
1,071 |
$3K |
| B4035 |
Enteral feed supp pump per d |
89 |
73 |
$2K |
| A4425 |
Ost pch drain for barrier fl |
58 |
55 |
$2K |
| A4310 |
Insert tray w/o bag/cath |
148 |
130 |
$2K |
| A4371 |
Skin barrier powder per oz |
888 |
780 |
$1K |
| A4314 |
Cath w/drainage 2-way latex |
74 |
73 |
$733.50 |
| T4541 |
Large disposable underpad |
28 |
24 |
$446.53 |
| A9286 |
Any hygienic item, device |
56 |
37 |
$261.90 |
| A4333 |
Urinary cath anchor device |
28 |
27 |
$223.64 |
| A4332 |
Lube sterile packet |
14 |
12 |
$5.53 |