| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
3,093 |
2,966 |
$1.96M |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,245 |
3,186 |
$195K |
| A4927 |
Gloves, non-sterile, per 100 |
3,639 |
3,584 |
$63K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
131 |
124 |
$51K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
560 |
546 |
$33K |
| A4402 |
Lubricant, per ounce |
2,595 |
2,548 |
$18K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
289 |
284 |
$7K |
| A5112 |
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
122 |
118 |
$5K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
24 |
24 |
$1K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
67 |
66 |
$1K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
40 |
40 |
$409.17 |