| Code | Description | Claims | Beneficiaries | Total Paid |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
8,879 |
6,756 |
$4.32M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
9,185 |
7,518 |
$776K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
5,224 |
4,789 |
$600K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
1,837 |
1,476 |
$334K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
2,507 |
2,349 |
$196K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
3,578 |
2,857 |
$136K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,561 |
4,125 |
$135K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
2,685 |
2,184 |
$132K |
| T4529 |
Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
1,053 |
1,002 |
$115K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
947 |
834 |
$67K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
932 |
716 |
$56K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,525 |
1,238 |
$48K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
586 |
517 |
$47K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
1,362 |
1,143 |
$43K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
1,751 |
1,386 |
$36K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
446 |
418 |
$22K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,947 |
2,222 |
$18K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
1,421 |
1,109 |
$17K |
| A4927 |
Gloves, non-sterile, per 100 |
2,216 |
1,801 |
$17K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
206 |
169 |
$16K |
| A5120 |
Skin barrier, wipes or swabs, each |
3,376 |
2,812 |
$15K |
| A4456 |
Adhesive remover, wipes, any type, each |
2,393 |
1,992 |
$14K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
1,682 |
1,453 |
$14K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
170 |
157 |
$12K |
| A4332 |
Lubricant, individual sterile packet, each |
1,779 |
1,385 |
$12K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,543 |
1,115 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
88 |
79 |
$7K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
126 |
102 |
$5K |
| A4402 |
Lubricant, per ounce |
1,738 |
1,481 |
$5K |
| A4371 |
Ostomy skin barrier, powder, per oz |
1,757 |
1,469 |
$3K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
94 |
62 |
$3K |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
60 |
38 |
$3K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
15 |
14 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
94 |
75 |
$2K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
60 |
53 |
$2K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
156 |
92 |
$2K |
| A4367 |
Ostomy belt, each |
366 |
301 |
$1K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
54 |
45 |
$1K |
| A4452 |
Tape, waterproof, per 18 square inches |
107 |
90 |
$919.74 |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
251 |
205 |
$499.51 |