| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
8,803 |
7,986 |
$4.23M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
23,197 |
21,219 |
$3.62M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
3,484 |
3,301 |
$920K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
2,139 |
1,830 |
$174K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,110 |
2,005 |
$151K |
| A4554 |
Disposable underpads, all sizes |
5,587 |
5,301 |
$120K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,472 |
1,419 |
$96K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
984 |
912 |
$96K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,014 |
978 |
$86K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
2,150 |
1,823 |
$82K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
1,312 |
1,253 |
$80K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
948 |
899 |
$71K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,842 |
1,761 |
$68K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
998 |
829 |
$67K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
4,448 |
4,016 |
$62K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
611 |
568 |
$39K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,596 |
1,503 |
$38K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,326 |
1,150 |
$36K |
| A4335 |
Incontinence supply; miscellaneous |
7,748 |
7,293 |
$33K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
1,288 |
1,189 |
$33K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
873 |
824 |
$30K |
| A4217 |
Sterile water/saline, 500 ml |
1,519 |
1,358 |
$29K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
1,094 |
1,030 |
$28K |
| A4927 |
Gloves, non-sterile, per 100 |
5,366 |
5,046 |
$28K |
| A4332 |
Lubricant, individual sterile packet, each |
7,650 |
7,134 |
$27K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
259 |
244 |
$22K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
2,465 |
2,300 |
$22K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
324 |
304 |
$18K |
| A4402 |
Lubricant, per ounce |
5,126 |
4,790 |
$18K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
291 |
275 |
$17K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
531 |
495 |
$15K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
1,345 |
1,265 |
$14K |
| A4456 |
Adhesive remover, wipes, any type, each |
3,277 |
3,071 |
$14K |
| A4399 |
Ostomy irrigation supply; cone/catheter, with or without brush |
911 |
702 |
$12K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
114 |
106 |
$12K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
491 |
434 |
$12K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
922 |
877 |
$11K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
2,182 |
2,090 |
$9K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,400 |
2,285 |
$8K |
| A4322 |
Irrigation syringe, bulb or piston, each |
1,056 |
989 |
$6K |
| A4371 |
Ostomy skin barrier, powder, per oz |
1,653 |
1,594 |
$4K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
1,472 |
1,400 |
$3K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
53 |
49 |
$3K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
26 |
24 |
$2K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
181 |
174 |
$2K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
63 |
60 |
$2K |
| A4367 |
Ostomy belt, each |
256 |
243 |
$867.67 |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
13 |
12 |
$816.20 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
121 |
99 |
$648.66 |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
401 |
387 |
$534.50 |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
29 |
26 |
$180.73 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
14 |
14 |
$66.27 |
| A4452 |
Tape, waterproof, per 18 square inches |
15 |
12 |
$57.03 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
13 |
12 |
$0.00 |