| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
177,261 |
157,135 |
$98.73M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
267,873 |
237,361 |
$21.80M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
63,744 |
55,952 |
$14.42M |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
19,711 |
16,442 |
$1.68M |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
33,016 |
29,112 |
$1.53M |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
24,613 |
21,782 |
$1.25M |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
19,251 |
16,869 |
$1.22M |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
23,619 |
21,120 |
$1.05M |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
27,046 |
23,875 |
$876K |
| A4332 |
Lubricant, individual sterile packet, each |
113,903 |
102,419 |
$874K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
23,311 |
20,782 |
$728K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
55,757 |
49,615 |
$683K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
9,410 |
8,412 |
$662K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
9,340 |
8,418 |
$647K |
| A4554 |
Disposable underpads, all sizes |
14,843 |
12,656 |
$501K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
22,146 |
19,587 |
$494K |
| A4322 |
Irrigation syringe, bulb or piston, each |
13,862 |
12,752 |
$439K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
10,401 |
8,974 |
$418K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,448 |
4,769 |
$386K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
10,206 |
8,639 |
$373K |
| A4927 |
Gloves, non-sterile, per 100 |
35,599 |
30,602 |
$362K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
14,125 |
12,490 |
$349K |
| T4541 |
Incontinence product, disposable underpad, large, each |
9,379 |
8,516 |
$337K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
5,158 |
4,606 |
$330K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
4,463 |
3,970 |
$317K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,626 |
3,070 |
$302K |
| A5120 |
Skin barrier, wipes or swabs, each |
64,449 |
57,419 |
$289K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,582 |
3,172 |
$289K |
| A4389 |
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each |
4,277 |
3,901 |
$283K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
33,848 |
29,944 |
$281K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
13,872 |
12,540 |
$277K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
5,868 |
5,185 |
$259K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
7,418 |
6,540 |
$247K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
10,498 |
9,238 |
$246K |
| A4456 |
Adhesive remover, wipes, any type, each |
54,732 |
48,976 |
$245K |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
5,119 |
4,464 |
$243K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
18,757 |
16,730 |
$238K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
6,655 |
5,970 |
$225K |
| A5054 |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
3,867 |
3,422 |
$221K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
3,024 |
2,685 |
$196K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,538 |
2,326 |
$194K |
| A4217 |
Sterile water/saline, 500 ml |
11,673 |
10,158 |
$181K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,949 |
1,718 |
$178K |
| A4402 |
Lubricant, per ounce |
37,349 |
34,074 |
$177K |
| A4340 |
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
2,688 |
2,330 |
$175K |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
1,700 |
1,467 |
$170K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
2,406 |
2,143 |
$170K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
19,409 |
17,477 |
$166K |
| A4416 |
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each |
3,010 |
2,655 |
$161K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
7,708 |
6,876 |
$146K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
10,322 |
9,199 |
$146K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
2,009 |
1,814 |
$139K |
| A4413 |
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each |
1,980 |
1,665 |
$102K |
| A4452 |
Tape, waterproof, per 18 square inches |
9,083 |
8,013 |
$82K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
573 |
494 |
$82K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
4,078 |
3,651 |
$80K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
1,877 |
1,688 |
$74K |
| A4390 |
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each |
1,242 |
1,105 |
$71K |
| A4428 |
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
1,640 |
1,331 |
$71K |
| A4371 |
Ostomy skin barrier, powder, per oz |
23,254 |
20,985 |
$69K |
| A5121 |
Skin barrier; solid, 6 x 6 or equivalent, each |
1,147 |
1,031 |
$63K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
3,776 |
3,131 |
$61K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
8,299 |
7,509 |
$61K |
| A4367 |
Ostomy belt, each |
13,613 |
12,123 |
$60K |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
560 |
481 |
$59K |
| A5073 |
Ostomy pouch, urinary; for use on barrier with flange (2 piece), each |
2,058 |
1,824 |
$59K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
1,889 |
1,650 |
$54K |
| A4399 |
Ostomy irrigation supply; cone/catheter, with or without brush |
4,108 |
3,731 |
$50K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
402 |
345 |
$48K |
| A4393 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each |
830 |
731 |
$45K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
326 |
272 |
$38K |
| A4392 |
Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each |
552 |
479 |
$38K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
502 |
456 |
$30K |
| A4335 |
Incontinence supply; miscellaneous |
3,129 |
2,545 |
$29K |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
4,609 |
4,185 |
$29K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
757 |
688 |
$28K |
| A4400 |
Ostomy irrigation set |
577 |
554 |
$20K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
6,365 |
5,768 |
$20K |
| A4427 |
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each |
686 |
608 |
$17K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
2,898 |
2,553 |
$17K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,138 |
3,683 |
$15K |
| A4415 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each |
315 |
285 |
$15K |
| A4245 |
Alcohol wipes, per box |
274 |
237 |
$15K |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
4,017 |
3,640 |
$14K |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
8,932 |
8,090 |
$13K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,403 |
1,273 |
$13K |
| A4331 |
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
2,703 |
2,433 |
$10K |
| A4315 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
1,447 |
1,176 |
$9K |
| A5081 |
Stoma plug or seal, any type |
1,185 |
1,073 |
$8K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
3,411 |
3,057 |
$8K |
| B9998 |
Noc for enteral supplies |
51 |
37 |
$7K |
| A4311 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
707 |
619 |
$6K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
67 |
62 |
$6K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
79 |
66 |
$5K |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
913 |
804 |
$5K |
| T5999 |
Supply, not otherwise specified |
268 |
193 |
$3K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
111 |
94 |
$3K |
| A4649 |
Surgical supply; miscellaneous |
703 |
594 |
$3K |
| A4373 |
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each |
64 |
57 |
$2K |
| A4411 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each |
27 |
25 |
$2K |
| A4930 |
Gloves, sterile, per pair |
32 |
24 |
$809.57 |
| A5055 |
Stoma cap |
27 |
24 |
$557.94 |
| A5102 |
Bedside drainage bottle with or without tubing, rigid or expandable, each |
101 |
81 |
$446.27 |
| A4422 |
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each |
112 |
102 |
$296.62 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
31 |
28 |
$47.70 |
| A4354 |
Insertion tray with drainage bag but without catheter |
16 |
12 |
$6.78 |