| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
386 |
326 |
$158K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
1,351 |
1,196 |
$25K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
336 |
302 |
$5K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
140 |
124 |
$3K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
130 |
115 |
$2K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
326 |
309 |
$2K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
95 |
89 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
390 |
355 |
$1K |
| A5120 |
Skin barrier, wipes or swabs, each |
389 |
354 |
$998.13 |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
40 |
36 |
$941.22 |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
12 |
12 |
$732.94 |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
55 |
52 |
$730.07 |
| A4332 |
Lubricant, individual sterile packet, each |
529 |
482 |
$595.11 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
85 |
79 |
$350.54 |
| A4927 |
Gloves, non-sterile, per 100 |
15 |
12 |
$90.96 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
12 |
12 |
$85.76 |
| A4402 |
Lubricant, per ounce |
50 |
50 |
$37.60 |