| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
1,402 |
1,169 |
$19K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
2,362 |
2,039 |
$12K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
768 |
674 |
$9K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
1,163 |
1,006 |
$4K |
| A5054 |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
555 |
501 |
$4K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
738 |
641 |
$2K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
185 |
169 |
$964.75 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
443 |
392 |
$527.61 |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
55 |
50 |
$377.45 |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
83 |
77 |
$280.77 |
| A5120 |
Skin barrier, wipes or swabs, each |
82 |
75 |
$34.47 |
| A4456 |
Adhesive remover, wipes, any type, each |
14 |
13 |
$17.87 |