| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4385 |
Ost skn barrier sld ext wear |
1,912 |
1,531 |
$85K |
| A4927 |
Non-sterile gloves |
1,699 |
1,403 |
$26K |
| A4407 |
Ext wear ost skn barr <=4sq" |
276 |
217 |
$17K |
| T4541 |
Large disposable underpad |
529 |
417 |
$9K |
| T4535 |
Disposable liner/shield/pad |
89 |
86 |
$8K |
| A4456 |
Adhesive remover, wipes |
2,284 |
1,763 |
$7K |
| A4425 |
Ost pch drain for barrier fl |
237 |
205 |
$6K |
| A5120 |
Skin barrier, wipe or swab |
1,933 |
1,465 |
$4K |
| A4409 |
Ost skn barr convex <=4 sq i |
85 |
64 |
$4K |
| A4357 |
Bedside drainage bag |
335 |
241 |
$2K |
| A4362 |
Solid skin barrier |
55 |
36 |
$986.51 |
| A4406 |
Pectin based ostomy paste |
62 |
40 |
$380.77 |
| A4358 |
Urinary leg or abdomen bag |
130 |
88 |
$230.55 |