| Code | Description | Claims | Beneficiaries | Total Paid |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
1,351 |
1,325 |
$26K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
408 |
404 |
$767.83 |
| L1852 |
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
98 |
48 |
$225.82 |