| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
5,883 |
4,687 |
$3.09M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
5,761 |
5,241 |
$404K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
658 |
572 |
$104K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,259 |
1,120 |
$83K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
1,489 |
1,370 |
$39K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,761 |
2,060 |
$17K |
| A4332 |
Lubricant, individual sterile packet, each |
2,635 |
2,392 |
$15K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,991 |
1,820 |
$10K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
153 |
134 |
$3K |
| A4402 |
Lubricant, per ounce |
478 |
455 |
$2K |