| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
3,779 |
3,458 |
$1.70M |
| A4351 |
Straight tip urine catheter |
7,171 |
6,703 |
$861K |
| A4352 |
Coude tip urinary catheter |
1,491 |
1,351 |
$263K |
| A4385 |
Ost skn barrier sld ext wear |
2,135 |
1,931 |
$93K |
| T4534 |
Youth size pull-on |
1,319 |
1,253 |
$85K |
| A4927 |
Non-sterile gloves |
6,402 |
5,879 |
$68K |
| A4409 |
Ost skn barr convex <=4 sq i |
1,262 |
1,131 |
$61K |
| T4541 |
Large disposable underpad |
4,286 |
4,090 |
$56K |
| T4527 |
Adult size pull-on lg |
1,360 |
1,295 |
$50K |
| A4407 |
Ext wear ost skn barr <=4sq" |
543 |
516 |
$49K |
| T4526 |
Adult size pull-on med |
1,157 |
1,098 |
$43K |
| A4425 |
Ost pch drain for barrier fl |
1,141 |
1,053 |
$42K |
| T4523 |
Adult size brief/diaper lg |
852 |
817 |
$38K |
| A4349 |
Disposable male external cat |
1,521 |
1,429 |
$28K |
| A4357 |
Bedside drainage bag |
3,661 |
3,422 |
$23K |
| T4535 |
Disposable liner/shield/pad |
905 |
844 |
$20K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
388 |
376 |
$20K |
| T4528 |
Adult size pull-on xl |
243 |
231 |
$17K |
| A4554 |
Disposable underpads |
1,442 |
1,355 |
$14K |
| A4362 |
Solid skin barrier |
1,089 |
1,045 |
$13K |
| A4452 |
Waterproof tape |
726 |
706 |
$13K |
| T4522 |
Adult size brief/diaper med |
287 |
281 |
$12K |
| A4314 |
Cath w/drainage 2-way latex |
790 |
733 |
$12K |
| A4394 |
Ostomy pouch liq deodorant |
1,157 |
1,064 |
$12K |
| T4537 |
Reusable underpad bed size |
452 |
430 |
$11K |
| A4332 |
Lube sterile packet |
2,247 |
2,114 |
$11K |
| A4358 |
Urinary leg or abdomen bag |
3,277 |
3,064 |
$11K |
| A5120 |
Skin barrier, wipe or swab |
2,296 |
2,174 |
$10K |
| A4217 |
Sterile water/saline, 500 ml |
1,012 |
938 |
$10K |
| A4456 |
Adhesive remover, wipes |
1,730 |
1,638 |
$8K |
| A6402 |
Sterile gauze <= 16 sq in |
907 |
863 |
$8K |
| A4402 |
Lubricant per ounce |
1,745 |
1,662 |
$6K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
60 |
60 |
$5K |
| T4543 |
Adult disp brief/diap abv xl |
52 |
49 |
$4K |
| A4406 |
Pectin based ostomy paste |
733 |
697 |
$3K |
| A4371 |
Skin barrier powder per oz |
1,094 |
1,034 |
$2K |
| A4338 |
Indwelling catheter latex |
231 |
208 |
$2K |
| A4520 |
Incontinence garment anytype |
103 |
76 |
$1K |
| T4530 |
Ped size brief/diaper lg |
17 |
14 |
$1K |
| A4427 |
Ost pch drain/barr lk flng/f |
42 |
37 |
$1K |
| A4310 |
Insert tray w/o bag/cath |
71 |
65 |
$830.25 |
| A5063 |
Drain ostomy pouch w/flange |
33 |
28 |
$796.65 |
| A4367 |
Ostomy belt |
355 |
343 |
$771.67 |
| T4524 |
Adult size brief/diaper xl |
15 |
13 |
$649.08 |
| A6216 |
Non-sterile gauze<=16 sq in |
74 |
69 |
$474.69 |
| A4335 |
Incontinence supply |
527 |
455 |
$391.35 |
| A4432 |
Os pch urine w bar/fange/tap |
14 |
13 |
$362.62 |
| A4333 |
Urinary cath anchor device |
67 |
65 |
$196.04 |
| A4322 |
Irrigation syringe |
12 |
12 |
$149.30 |
| A4450 |
Non-waterproof tape |
27 |
26 |
$92.69 |