| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
4,215 |
2,027 |
$2.35M |
| A4554 |
Disposable underpads, all sizes |
53,541 |
50,045 |
$1.78M |
| A4927 |
Gloves, non-sterile, per 100 |
58,862 |
40,777 |
$984K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
11,612 |
10,952 |
$862K |
| T5999 |
Supply, not otherwise specified |
73,676 |
71,156 |
$804K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
7,082 |
6,905 |
$799K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
29,095 |
27,399 |
$757K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
14,062 |
13,182 |
$640K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
9,592 |
8,981 |
$611K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
12,711 |
11,706 |
$562K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,712 |
5,429 |
$304K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
4,895 |
1,399 |
$284K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
2,688 |
2,582 |
$203K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,771 |
1,697 |
$123K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,968 |
1,893 |
$104K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,097 |
1,037 |
$84K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
984 |
953 |
$73K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
729 |
678 |
$70K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
191 |
191 |
$37K |
| E0570 |
Nebulizer, with compressor |
311 |
277 |
$29K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
4,658 |
1,538 |
$22K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
193 |
193 |
$11K |
| A4335 |
Incontinence supply; miscellaneous |
295 |
288 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
311 |
287 |
$8K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
101 |
100 |
$8K |
| A4456 |
Adhesive remover, wipes, any type, each |
376 |
177 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
211 |
189 |
$1K |
| A5120 |
Skin barrier, wipes or swabs, each |
130 |
76 |
$1K |
| A4332 |
Lubricant, individual sterile packet, each |
260 |
62 |
$679.51 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
13 |
12 |
$510.02 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
32 |
30 |
$397.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
183 |
175 |
$337.38 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
306 |
296 |
$237.64 |