| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,800,431 |
1,787,986 |
$93.45M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,278,714 |
1,171,607 |
$49.40M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
603,242 |
598,860 |
$38.60M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
681,007 |
676,478 |
$36.15M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
361,110 |
358,346 |
$23.64M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
283,226 |
280,507 |
$23.41M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
155,361 |
149,571 |
$21.11M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
148,395 |
146,729 |
$19.04M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
81,170 |
76,852 |
$18.53M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
264,207 |
261,560 |
$18.43M |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
154,964 |
152,778 |
$14.25M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
174,881 |
173,239 |
$14.00M |
| B9998 |
Noc for enteral supplies |
193,807 |
174,427 |
$12.03M |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
76,734 |
74,712 |
$10.24M |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
833,860 |
827,773 |
$10.21M |
| A4335 |
Incontinence supply; miscellaneous |
865,869 |
858,096 |
$9.22M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
135,993 |
134,863 |
$6.84M |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
41,021 |
39,325 |
$6.59M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
238,092 |
236,500 |
$6.26M |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13,434 |
12,924 |
$6.10M |
| A4927 |
Gloves, non-sterile, per 100 |
364,288 |
358,607 |
$5.48M |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
42,178 |
41,005 |
$5.15M |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
27,054 |
26,360 |
$4.49M |
| B9002 |
Enteral nutrition infusion pump, any type |
7,388 |
7,175 |
$3.80M |
| A4322 |
Irrigation syringe, bulb or piston, each |
160,072 |
147,325 |
$3.61M |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
48,835 |
48,167 |
$3.28M |
| S9999 |
Sales tax |
378,869 |
368,248 |
$3.23M |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
27,108 |
26,647 |
$2.74M |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
12,189 |
11,916 |
$2.66M |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
27,784 |
27,018 |
$2.38M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
7,163 |
6,816 |
$2.36M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
13,772 |
13,621 |
$2.23M |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
4,580 |
4,341 |
$2.16M |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
15,235 |
14,609 |
$1.96M |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
23,174 |
22,744 |
$1.76M |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
11,660 |
11,329 |
$1.56M |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
12,153 |
11,385 |
$1.54M |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
2,953 |
2,836 |
$1.49M |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
10,195 |
9,785 |
$1.48M |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
4,568 |
4,425 |
$1.27M |
| A6213 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
3,467 |
3,240 |
$1.24M |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,777 |
1,659 |
$1.24M |
| B4149 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
2,866 |
2,738 |
$1.16M |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
16,586 |
16,174 |
$1.12M |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
4,034 |
3,744 |
$979K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
9,258 |
9,124 |
$944K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
6,964 |
6,787 |
$907K |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
4,322 |
4,074 |
$890K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
7,817 |
7,621 |
$890K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
39,295 |
38,361 |
$877K |
| T5999 |
Supply, not otherwise specified |
3,863 |
3,536 |
$872K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
4,637 |
4,597 |
$845K |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
6,321 |
6,101 |
$842K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
90,497 |
87,441 |
$809K |
| A6210 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
2,481 |
2,368 |
$765K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
15,108 |
14,578 |
$716K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
16,389 |
15,906 |
$701K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
8,313 |
7,863 |
$700K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
10,999 |
10,833 |
$697K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
4,052 |
3,841 |
$640K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
30,944 |
30,405 |
$565K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
27,056 |
26,596 |
$558K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
13,787 |
13,266 |
$541K |
| A4456 |
Adhesive remover, wipes, any type, each |
49,362 |
48,756 |
$511K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
8,233 |
7,942 |
$503K |
| A4390 |
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each |
2,245 |
2,134 |
$453K |
| A6223 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
3,948 |
3,832 |
$451K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
22,051 |
21,418 |
$446K |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
4,894 |
4,549 |
$443K |
| A5120 |
Skin barrier, wipes or swabs, each |
55,459 |
54,658 |
$442K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
5,062 |
4,938 |
$412K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
11,990 |
11,688 |
$363K |
| A4430 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
1,889 |
1,799 |
$357K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
4,361 |
4,263 |
$354K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
5,411 |
5,193 |
$321K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
1,226 |
1,186 |
$273K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
18,756 |
18,530 |
$271K |
| A4389 |
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each |
1,486 |
1,447 |
$269K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
1,398 |
1,335 |
$267K |
| A4371 |
Ostomy skin barrier, powder, per oz |
29,040 |
28,532 |
$251K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
17,551 |
14,940 |
$237K |
| A5062 |
Ostomy pouch, drainable; without barrier attached (1 piece), each |
1,604 |
1,596 |
$234K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
4,042 |
3,948 |
$229K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,577 |
2,486 |
$222K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
3,280 |
3,135 |
$218K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
20,333 |
20,098 |
$200K |
| E0776 |
Iv pole |
3,676 |
3,616 |
$192K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
6,580 |
6,419 |
$192K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
15,236 |
14,863 |
$187K |
| A6211 |
Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
307 |
293 |
$181K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
5,135 |
5,003 |
$160K |
| A4402 |
Lubricant, per ounce |
33,729 |
33,462 |
$147K |
| A4373 |
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each |
1,139 |
1,074 |
$136K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
2,634 |
2,555 |
$136K |
| A4416 |
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each |
937 |
910 |
$120K |
| A5121 |
Skin barrier; solid, 6 x 6 or equivalent, each |
802 |
780 |
$112K |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
1,868 |
1,800 |
$110K |
| A4427 |
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each |
1,443 |
1,382 |
$96K |
| A4367 |
Ostomy belt, each |
12,911 |
12,717 |
$93K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
2,024 |
1,957 |
$84K |
| A5112 |
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
2,198 |
2,114 |
$84K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
2,038 |
1,987 |
$82K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
1,105 |
1,049 |
$79K |
| A4428 |
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
517 |
505 |
$68K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,021 |
1,014 |
$67K |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
2,681 |
2,651 |
$65K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
975 |
928 |
$65K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
796 |
794 |
$50K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
311 |
282 |
$49K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
5,000 |
4,874 |
$48K |
| A4217 |
Sterile water/saline, 500 ml |
568 |
549 |
$48K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,625 |
1,564 |
$48K |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
3,455 |
3,422 |
$45K |
| A5054 |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
600 |
579 |
$44K |
| A4332 |
Lubricant, individual sterile packet, each |
2,756 |
2,704 |
$38K |
| B4082 |
Nasogastric tubing without stylet |
2,246 |
2,161 |
$36K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
479 |
474 |
$33K |
| A6220 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
283 |
265 |
$30K |
| A6235 |
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
162 |
134 |
$29K |
| A6259 |
Transparent film, sterile, more than 48 sq. in., each dressing |
242 |
240 |
$29K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
5,124 |
4,999 |
$27K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
6,146 |
5,982 |
$22K |
| A4412 |
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each |
164 |
163 |
$21K |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
1,842 |
1,825 |
$20K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
379 |
361 |
$19K |
| A4331 |
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
2,580 |
2,451 |
$17K |
| A5114 |
Leg strap; foam or fabric, replacement only, per set |
1,257 |
1,232 |
$16K |
| A4452 |
Tape, waterproof, per 18 square inches |
1,129 |
1,066 |
$14K |
| B4158 |
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit |
114 |
112 |
$13K |
| B4081 |
Nasogastric tubing with stylet |
561 |
551 |
$13K |
| A4554 |
Disposable underpads, all sizes |
107 |
106 |
$13K |
| A4393 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each |
38 |
37 |
$11K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
1,133 |
1,124 |
$10K |
| A6403 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
179 |
174 |
$8K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
48 |
44 |
$8K |
| A5055 |
Stoma cap |
125 |
123 |
$6K |
| A4657 |
Syringe, with or without needle, each |
3,641 |
3,000 |
$6K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
89 |
82 |
$5K |
| A6022 |
Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each |
28 |
24 |
$5K |
| A6445 |
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard |
248 |
233 |
$5K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
1,048 |
988 |
$3K |
| A5073 |
Ostomy pouch, urinary; for use on barrier with flange (2 piece), each |
40 |
38 |
$3K |
| A6407 |
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard |
105 |
97 |
$3K |
| A4311 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
167 |
152 |
$3K |
| A9270 |
Non-covered item or service |
384 |
343 |
$2K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
43 |
39 |
$2K |
| A6260 |
Wound cleansers, any type, any size |
288 |
282 |
$1K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
13 |
13 |
$1K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
13 |
12 |
$1K |
| A4363 |
Ostomy clamp, any type, replacement only, each |
98 |
97 |
$909.89 |
| A4354 |
Insertion tray with drainage bag but without catheter |
14 |
14 |
$309.93 |
| A4245 |
Alcohol wipes, per box |
144 |
139 |
$295.98 |