| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
8,803 |
7,986 |
$4.23M |
| A4351 |
Straight tip urine catheter |
23,197 |
21,219 |
$3.62M |
| A4352 |
Coude tip urinary catheter |
3,484 |
3,301 |
$920K |
| A4344 |
Cath indw foley 2 way silicn |
2,139 |
1,830 |
$174K |
| T4534 |
Youth size pull-on |
2,110 |
2,005 |
$151K |
| A4554 |
Disposable underpads |
5,587 |
5,301 |
$120K |
| T4526 |
Adult size pull-on med |
1,472 |
1,419 |
$96K |
| A4407 |
Ext wear ost skn barr <=4sq" |
984 |
912 |
$96K |
| T4527 |
Adult size pull-on lg |
1,014 |
978 |
$86K |
| A4310 |
Insert tray w/o bag/cath |
2,150 |
1,823 |
$82K |
| A4385 |
Ost skn barrier sld ext wear |
1,312 |
1,253 |
$80K |
| A4409 |
Ost skn barr convex <=4 sq i |
948 |
899 |
$71K |
| B4036 |
Enteral feed sup kit grav by |
1,842 |
1,761 |
$68K |
| A5061 |
Pouch drainable w barrier at |
998 |
829 |
$67K |
| A4357 |
Bedside drainage bag |
4,448 |
4,016 |
$62K |
| T4530 |
Ped size brief/diaper lg |
611 |
568 |
$39K |
| T4535 |
Disposable liner/shield/pad |
1,596 |
1,503 |
$38K |
| A4425 |
Ost pch drain for barrier fl |
1,326 |
1,150 |
$36K |
| A4335 |
Incontinence supply |
7,748 |
7,293 |
$33K |
| A4338 |
Indwelling catheter latex |
1,288 |
1,189 |
$33K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
873 |
824 |
$30K |
| A4217 |
Sterile water/saline, 500 ml |
1,519 |
1,358 |
$29K |
| A4362 |
Solid skin barrier |
1,094 |
1,030 |
$28K |
| A4927 |
Non-sterile gloves |
5,366 |
5,046 |
$28K |
| A4332 |
Lube sterile packet |
7,650 |
7,134 |
$27K |
| T4532 |
Ped size pull-on lg |
259 |
244 |
$22K |
| A4358 |
Urinary leg or abdomen bag |
2,465 |
2,300 |
$22K |
| T4522 |
Adult size brief/diaper med |
324 |
304 |
$18K |
| A4402 |
Lubricant per ounce |
5,126 |
4,790 |
$18K |
| T4525 |
Adult size pull-on sm |
291 |
275 |
$17K |
| A4432 |
Os pch urine w bar/fange/tap |
531 |
495 |
$15K |
| A4406 |
Pectin based ostomy paste |
1,345 |
1,265 |
$14K |
| A4456 |
Adhesive remover, wipes |
3,277 |
3,071 |
$14K |
| A4399 |
Ostomy irrig cone/cath w brs |
911 |
702 |
$12K |
| T4528 |
Adult size pull-on xl |
114 |
106 |
$12K |
| A5063 |
Drain ostomy pouch w/flange |
491 |
434 |
$12K |
| A4394 |
Ostomy pouch liq deodorant |
922 |
877 |
$11K |
| A4213 |
20+ cc syringe only |
2,182 |
2,090 |
$9K |
| A5120 |
Skin barrier, wipe or swab |
2,400 |
2,285 |
$8K |
| A4322 |
Irrigation syringe |
1,056 |
989 |
$6K |
| A4371 |
Skin barrier powder per oz |
1,653 |
1,594 |
$4K |
| A4369 |
Skin barrier liquid per oz |
1,472 |
1,400 |
$3K |
| T4523 |
Adult size brief/diaper lg |
53 |
49 |
$3K |
| T4533 |
Youth size brief/diaper |
26 |
24 |
$2K |
| A4247 |
Betadine/iodine swabs/wipes |
181 |
174 |
$2K |
| A4349 |
Disposable male external cat |
63 |
60 |
$2K |
| A4367 |
Ostomy belt |
256 |
243 |
$867.67 |
| T4521 |
Adult size brief/diaper sm |
13 |
12 |
$816.20 |
| A4333 |
Urinary cath anchor device |
121 |
99 |
$648.66 |
| A4455 |
Adhesive remover per ounce |
401 |
387 |
$534.50 |
| A4314 |
Cath w/drainage 2-way latex |
29 |
26 |
$180.73 |
| A6250 |
Skin seal protect moisturizr |
14 |
14 |
$66.27 |
| A4452 |
Waterproof tape |
15 |
12 |
$57.03 |
| A4520 |
Incontinence garment anytype |
13 |
12 |
$0.00 |