| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
5,254 |
4,415 |
$2.87M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
2,804 |
2,348 |
$378K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
577 |
461 |
$372K |
| A4554 |
Disposable underpads, all sizes |
3,652 |
3,229 |
$51K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
948 |
877 |
$49K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
106 |
89 |
$32K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
416 |
376 |
$18K |
| A4335 |
Incontinence supply; miscellaneous |
4,394 |
3,978 |
$13K |
| A4927 |
Gloves, non-sterile, per 100 |
2,775 |
2,419 |
$12K |
| K0001 |
Standard wheelchair |
1,967 |
1,951 |
$10K |
| A4217 |
Sterile water/saline, 500 ml |
718 |
621 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
533 |
490 |
$9K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
594 |
510 |
$8K |
| A4322 |
Irrigation syringe, bulb or piston, each |
998 |
874 |
$7K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
329 |
299 |
$6K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
131 |
127 |
$6K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
95 |
88 |
$6K |
| A4402 |
Lubricant, per ounce |
1,466 |
1,219 |
$4K |
| A4400 |
Ostomy irrigation set |
130 |
127 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,075 |
1,061 |
$2K |
| K0003 |
Lightweight wheelchair |
285 |
282 |
$2K |
| A4332 |
Lubricant, individual sterile packet, each |
637 |
504 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
183 |
170 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
27 |
26 |
$258.76 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
24 |
12 |
$220.04 |
| A4453 |
Rectal catheter with or without balloon, for use with any type transanal irrigation system, each |
43 |
43 |
$0.00 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
86 |
74 |
$0.00 |