| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
3,779 |
3,458 |
$1.70M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
7,171 |
6,703 |
$861K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
1,491 |
1,351 |
$263K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
2,135 |
1,931 |
$93K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,319 |
1,253 |
$85K |
| A4927 |
Gloves, non-sterile, per 100 |
6,402 |
5,879 |
$68K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
1,262 |
1,131 |
$61K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,286 |
4,090 |
$56K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,360 |
1,295 |
$50K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
543 |
516 |
$49K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,157 |
1,098 |
$43K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,141 |
1,053 |
$42K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
852 |
817 |
$38K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
1,521 |
1,429 |
$28K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
3,661 |
3,422 |
$23K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
905 |
844 |
$20K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
388 |
376 |
$20K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
243 |
231 |
$17K |
| A4554 |
Disposable underpads, all sizes |
1,442 |
1,355 |
$14K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
1,089 |
1,045 |
$13K |
| A4452 |
Tape, waterproof, per 18 square inches |
726 |
706 |
$13K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
287 |
281 |
$12K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
790 |
733 |
$12K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
1,157 |
1,064 |
$12K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
452 |
430 |
$11K |
| A4332 |
Lubricant, individual sterile packet, each |
2,247 |
2,114 |
$11K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
3,277 |
3,064 |
$11K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,296 |
2,174 |
$10K |
| A4217 |
Sterile water/saline, 500 ml |
1,012 |
938 |
$10K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,730 |
1,638 |
$8K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
907 |
863 |
$8K |
| A4402 |
Lubricant, per ounce |
1,745 |
1,662 |
$6K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
60 |
60 |
$5K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
52 |
49 |
$4K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
733 |
697 |
$3K |
| A4371 |
Ostomy skin barrier, powder, per oz |
1,094 |
1,034 |
$2K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
231 |
208 |
$2K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
103 |
76 |
$1K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
17 |
14 |
$1K |
| A4427 |
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each |
42 |
37 |
$1K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
71 |
65 |
$830.25 |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
33 |
28 |
$796.65 |
| A4367 |
Ostomy belt, each |
355 |
343 |
$771.67 |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
15 |
13 |
$649.08 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
74 |
69 |
$474.69 |
| A4335 |
Incontinence supply; miscellaneous |
527 |
455 |
$391.35 |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
14 |
13 |
$362.62 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
67 |
65 |
$196.04 |
| A4322 |
Irrigation syringe, bulb or piston, each |
12 |
12 |
$149.30 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
27 |
26 |
$92.69 |