| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
3,704 |
2,830 |
$1.45M |
| A4351 |
Straight tip urine catheter |
7,496 |
5,932 |
$900K |
| T4541 |
Large disposable underpad |
3,600 |
3,030 |
$195K |
| A9900 |
Supply/accessory/service |
322 |
248 |
$163K |
| A4352 |
Coude tip urinary catheter |
310 |
237 |
$101K |
| A4357 |
Bedside drainage bag |
3,371 |
2,240 |
$81K |
| A4349 |
Disposable male external cat |
2,001 |
1,361 |
$76K |
| A4310 |
Insert tray w/o bag/cath |
1,189 |
853 |
$56K |
| A4927 |
Non-sterile gloves |
4,992 |
3,549 |
$54K |
| A4358 |
Urinary leg or abdomen bag |
2,722 |
1,786 |
$46K |
| A4402 |
Lubricant per ounce |
3,886 |
2,818 |
$29K |
| T4526 |
Adult size pull-on med |
199 |
158 |
$17K |
| T4544 |
Adlt disp und/pull on abv xl |
89 |
78 |
$13K |
| A4338 |
Indwelling catheter latex |
366 |
217 |
$12K |
| A4453 |
Rec cath any transanal, each |
23 |
12 |
$9K |
| T4543 |
Adult disp brief/diap abv xl |
28 |
26 |
$5K |
| T4542 |
Small disposable underpad |
39 |
32 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
30 |
25 |
$632.78 |
| A4332 |
Lube sterile packet |
28 |
24 |
$23.40 |