| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
8,318 |
7,085 |
$4.39M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
3,250 |
2,740 |
$211K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
687 |
632 |
$102K |
| A4400 |
Ostomy irrigation set |
1,780 |
1,479 |
$44K |
| A4459 |
Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type |
187 |
118 |
$40K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
356 |
323 |
$31K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
67 |
66 |
$11K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
74 |
65 |
$7K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
52 |
37 |
$635.04 |