| Code | Description | Claims | Beneficiaries | Total Paid |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
24,158 |
22,724 |
$16.79M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
13,672 |
12,388 |
$1.82M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
3,975 |
3,679 |
$1.18M |
| A4927 |
Gloves, non-sterile, per 100 |
9,170 |
8,801 |
$164K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
2,777 |
2,184 |
$150K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,214 |
3,113 |
$93K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
729 |
701 |
$75K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
1,337 |
1,303 |
$67K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
797 |
762 |
$48K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
1,084 |
1,043 |
$44K |
| A4332 |
Lubricant, individual sterile packet, each |
5,559 |
5,155 |
$39K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
695 |
676 |
$36K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
5,031 |
4,744 |
$34K |
| A4217 |
Sterile water/saline, 500 ml |
1,105 |
1,068 |
$33K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
938 |
884 |
$31K |
| A4554 |
Disposable underpads, all sizes |
951 |
911 |
$30K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
1,178 |
1,140 |
$28K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
602 |
232 |
$24K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
568 |
558 |
$22K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
346 |
332 |
$22K |
| A4402 |
Lubricant, per ounce |
4,834 |
4,339 |
$20K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
388 |
377 |
$16K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
458 |
450 |
$14K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
840 |
423 |
$13K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
3,124 |
2,920 |
$13K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
186 |
180 |
$13K |
| A4456 |
Adhesive remover, wipes, any type, each |
2,960 |
2,837 |
$12K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,971 |
2,881 |
$12K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
108 |
105 |
$9K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
114 |
112 |
$8K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
557 |
550 |
$5K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
315 |
310 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
74 |
72 |
$4K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
273 |
266 |
$3K |
| A4371 |
Ostomy skin barrier, powder, per oz |
1,008 |
985 |
$3K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
127 |
123 |
$1K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
13 |
13 |
$1K |
| A4367 |
Ostomy belt, each |
280 |
271 |
$971.53 |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
128 |
123 |
$890.66 |
| A4322 |
Irrigation syringe, bulb or piston, each |
101 |
95 |
$811.90 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
91 |
89 |
$708.06 |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
13 |
13 |
$546.60 |
| A4335 |
Incontinence supply; miscellaneous |
84 |
79 |
$222.32 |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
13 |
13 |
$201.51 |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
103 |
100 |
$156.78 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
28 |
25 |
$147.00 |
| A4452 |
Tape, waterproof, per 18 square inches |
12 |
12 |
$128.48 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
14 |
14 |
$74.70 |