| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
24,158 |
22,724 |
$16.79M |
| A4351 |
Straight tip urine catheter |
13,672 |
12,388 |
$1.82M |
| A4352 |
Coude tip urinary catheter |
3,975 |
3,679 |
$1.18M |
| A4927 |
Non-sterile gloves |
9,170 |
8,801 |
$164K |
| A4349 |
Disposable male external cat |
2,777 |
2,184 |
$150K |
| T4541 |
Large disposable underpad |
3,214 |
3,113 |
$93K |
| T4534 |
Youth size pull-on |
729 |
701 |
$75K |
| A4385 |
Ost skn barrier sld ext wear |
1,337 |
1,303 |
$67K |
| T4526 |
Adult size pull-on med |
797 |
762 |
$48K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
1,084 |
1,043 |
$44K |
| A4332 |
Lube sterile packet |
5,559 |
5,155 |
$39K |
| A4409 |
Ost skn barr convex <=4 sq i |
695 |
676 |
$36K |
| A4357 |
Bedside drainage bag |
5,031 |
4,744 |
$34K |
| A4217 |
Sterile water/saline, 500 ml |
1,105 |
1,068 |
$33K |
| T4535 |
Disposable liner/shield/pad |
938 |
884 |
$31K |
| A4554 |
Disposable underpads |
951 |
911 |
$30K |
| A4425 |
Ost pch drain for barrier fl |
1,178 |
1,140 |
$28K |
| A4344 |
Cath indw foley 2 way silicn |
602 |
232 |
$24K |
| A4362 |
Solid skin barrier |
568 |
558 |
$22K |
| T4527 |
Adult size pull-on lg |
346 |
332 |
$22K |
| A4402 |
Lubricant per ounce |
4,834 |
4,339 |
$20K |
| A4407 |
Ext wear ost skn barr <=4sq" |
388 |
377 |
$16K |
| A5063 |
Drain ostomy pouch w/flange |
458 |
450 |
$14K |
| A4310 |
Insert tray w/o bag/cath |
840 |
423 |
$13K |
| A4358 |
Urinary leg or abdomen bag |
3,124 |
2,920 |
$13K |
| T4523 |
Adult size brief/diaper lg |
186 |
180 |
$13K |
| A4456 |
Adhesive remover, wipes |
2,960 |
2,837 |
$12K |
| A5120 |
Skin barrier, wipe or swab |
2,971 |
2,881 |
$12K |
| T4528 |
Adult size pull-on xl |
108 |
105 |
$9K |
| T4525 |
Adult size pull-on sm |
114 |
112 |
$8K |
| A4406 |
Pectin based ostomy paste |
557 |
550 |
$5K |
| A4394 |
Ostomy pouch liq deodorant |
315 |
310 |
$4K |
| T4522 |
Adult size brief/diaper med |
74 |
72 |
$4K |
| A4213 |
20+ cc syringe only |
273 |
266 |
$3K |
| A4371 |
Skin barrier powder per oz |
1,008 |
985 |
$3K |
| A4247 |
Betadine/iodine swabs/wipes |
127 |
123 |
$1K |
| T4524 |
Adult size brief/diaper xl |
13 |
13 |
$1K |
| A4367 |
Ostomy belt |
280 |
271 |
$971.53 |
| A5131 |
Appliance cleaner |
128 |
123 |
$890.66 |
| A4322 |
Irrigation syringe |
101 |
95 |
$811.90 |
| A4333 |
Urinary cath anchor device |
91 |
89 |
$708.06 |
| A4419 |
Ost pch for bar w flange/flt |
13 |
13 |
$546.60 |
| A4335 |
Incontinence supply |
84 |
79 |
$222.32 |
| A4432 |
Os pch urine w bar/fange/tap |
13 |
13 |
$201.51 |
| A4369 |
Skin barrier liquid per oz |
103 |
100 |
$156.78 |
| A4520 |
Incontinence garment anytype |
28 |
25 |
$147.00 |
| A4452 |
Waterproof tape |
12 |
12 |
$128.48 |
| A4338 |
Indwelling catheter latex |
14 |
14 |
$74.70 |