| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
6,052 |
5,391 |
$2.88M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
5,505 |
5,373 |
$505K |
| A4554 |
Disposable underpads, all sizes |
9,551 |
9,232 |
$397K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
2,829 |
2,474 |
$327K |
| A4927 |
Gloves, non-sterile, per 100 |
10,568 |
10,069 |
$240K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
6,447 |
5,996 |
$232K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
2,625 |
2,528 |
$197K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,738 |
1,668 |
$144K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,690 |
1,621 |
$143K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,248 |
1,201 |
$105K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,191 |
1,158 |
$90K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
938 |
913 |
$88K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
760 |
739 |
$65K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
759 |
730 |
$60K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
893 |
663 |
$50K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,184 |
1,151 |
$36K |
| A4402 |
Lubricant, per ounce |
946 |
860 |
$21K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
940 |
773 |
$20K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,418 |
1,170 |
$20K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
500 |
489 |
$18K |
| A4332 |
Lubricant, individual sterile packet, each |
750 |
683 |
$18K |
| E1399 |
Durable medical equipment, miscellaneous |
374 |
362 |
$18K |
| A4217 |
Sterile water/saline, 500 ml |
616 |
583 |
$15K |
| A4259 |
Lancets, per box of 100 |
393 |
385 |
$7K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
30 |
27 |
$3K |
| A5120 |
Skin barrier, wipes or swabs, each |
356 |
306 |
$3K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
13 |
13 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
39 |
38 |
$2K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
37 |
36 |
$1K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
96 |
85 |
$1K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
12 |
12 |
$757.31 |
| A4322 |
Irrigation syringe, bulb or piston, each |
26 |
24 |
$448.58 |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
54 |
28 |
$371.04 |
| A4335 |
Incontinence supply; miscellaneous |
33 |
32 |
$357.56 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
53 |
49 |
$245.90 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
108 |
99 |
$204.70 |
| A4456 |
Adhesive remover, wipes, any type, each |
151 |
132 |
$121.95 |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
46 |
38 |
$96.14 |