| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
91,348 |
77,831 |
$8.58M |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
11,568 |
9,700 |
$5.48M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
13,487 |
11,327 |
$3.39M |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
31,640 |
27,575 |
$1.26M |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
20,077 |
17,075 |
$933K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
31,019 |
27,062 |
$791K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
12,723 |
10,660 |
$694K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
17,828 |
15,093 |
$649K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
18,025 |
15,541 |
$480K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
18,054 |
15,301 |
$357K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
26,202 |
22,865 |
$346K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
11,893 |
9,940 |
$287K |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
2,705 |
2,258 |
$256K |
| A4456 |
Adhesive remover, wipes, any type, each |
39,349 |
34,352 |
$250K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
31,312 |
26,520 |
$214K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
6,038 |
5,305 |
$197K |
| A4332 |
Lubricant, individual sterile packet, each |
14,703 |
12,913 |
$182K |
| A5120 |
Skin barrier, wipes or swabs, each |
33,142 |
29,075 |
$164K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
18,256 |
15,683 |
$161K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
6,151 |
5,106 |
$152K |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
2,724 |
2,248 |
$140K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
3,709 |
3,187 |
$135K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
4,305 |
3,549 |
$134K |
| A4389 |
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each |
2,423 |
2,146 |
$131K |
| A5121 |
Skin barrier; solid, 6 x 6 or equivalent, each |
2,617 |
2,245 |
$122K |
| A4373 |
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each |
2,716 |
2,320 |
$117K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
21,735 |
18,436 |
$106K |
| A4416 |
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each |
1,733 |
1,343 |
$106K |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
4,881 |
4,474 |
$104K |
| A4328 |
Female external urinary collection device; pouch, each |
1,027 |
831 |
$97K |
| A4390 |
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each |
1,506 |
1,301 |
$97K |
| A4427 |
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each |
4,229 |
3,544 |
$91K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,610 |
2,456 |
$90K |
| A7048 |
Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each |
208 |
153 |
$85K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
2,281 |
1,995 |
$81K |
| A5054 |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
2,330 |
1,957 |
$77K |
| L8030 |
Breast prosthesis, silicone or equal, without integral adhesive |
1,112 |
954 |
$73K |
| A4452 |
Tape, waterproof, per 18 square inches |
10,370 |
9,102 |
$65K |
| A5055 |
Stoma cap |
3,395 |
2,972 |
$63K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
779 |
733 |
$58K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
7,892 |
6,781 |
$54K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,423 |
1,295 |
$52K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
492 |
451 |
$51K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
844 |
761 |
$51K |
| A4402 |
Lubricant, per ounce |
6,552 |
5,634 |
$49K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
5,233 |
4,380 |
$47K |
| A4430 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
851 |
733 |
$46K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
2,496 |
2,093 |
$46K |
| A4371 |
Ostomy skin barrier, powder, per oz |
15,669 |
13,700 |
$40K |
| A4367 |
Ostomy belt, each |
8,873 |
7,697 |
$36K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
3,322 |
2,870 |
$32K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
4,307 |
3,708 |
$31K |
| A4413 |
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each |
417 |
364 |
$22K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
7,352 |
6,355 |
$22K |
| A4423 |
Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each |
516 |
436 |
$20K |
| L8020 |
Breast prosthesis, mastectomy form |
341 |
279 |
$20K |
| A4340 |
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
549 |
470 |
$17K |
| A4393 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each |
390 |
320 |
$17K |
| A4415 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each |
454 |
406 |
$16K |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
250 |
211 |
$15K |
| A4311 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
1,564 |
1,365 |
$15K |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
1,721 |
1,586 |
$13K |
| K1006 |
Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system |
36 |
30 |
$11K |
| A4422 |
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each |
2,176 |
1,907 |
$10K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
1,089 |
946 |
$8K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
2,822 |
2,378 |
$7K |
| A4428 |
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
170 |
152 |
$6K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
2,718 |
2,328 |
$6K |
| A5102 |
Bedside drainage bottle with or without tubing, rigid or expandable, each |
492 |
404 |
$5K |
| A4315 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
370 |
315 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
481 |
423 |
$5K |
| A5073 |
Ostomy pouch, urinary; for use on barrier with flange (2 piece), each |
190 |
179 |
$4K |
| E1399 |
Durable medical equipment, miscellaneous |
135 |
54 |
$4K |
| A4322 |
Irrigation syringe, bulb or piston, each |
555 |
488 |
$3K |
| A4433 |
Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each |
145 |
127 |
$3K |
| A4408 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each |
53 |
39 |
$3K |
| A4354 |
Insertion tray with drainage bag but without catheter |
114 |
103 |
$442.32 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
188 |
142 |
$348.12 |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
80 |
66 |
$263.10 |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
13 |
13 |
$219.28 |
| A4331 |
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
19 |
12 |
$31.77 |