| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
6,742 |
5,933 |
$3.59M |
| A4351 |
Straight tip urine catheter |
10,140 |
9,363 |
$1.47M |
| A4352 |
Coude tip urinary catheter |
1,510 |
1,432 |
$538K |
| A4344 |
Cath indw foley 2 way silicn |
1,364 |
1,165 |
$213K |
| T4534 |
Youth size pull-on |
1,383 |
1,317 |
$125K |
| A4554 |
Disposable underpads |
5,092 |
4,852 |
$121K |
| A4310 |
Insert tray w/o bag/cath |
1,417 |
1,209 |
$90K |
| T4526 |
Adult size pull-on med |
933 |
915 |
$86K |
| T4527 |
Adult size pull-on lg |
721 |
697 |
$76K |
| A4357 |
Bedside drainage bag |
2,968 |
2,542 |
$43K |
| A4335 |
Incontinence supply |
7,266 |
6,839 |
$43K |
| T4535 |
Disposable liner/shield/pad |
1,095 |
1,068 |
$38K |
| T4522 |
Adult size brief/diaper med |
342 |
331 |
$27K |
| B4036 |
Enteral feed sup kit grav by |
1,049 |
1,026 |
$27K |
| A4927 |
Non-sterile gloves |
4,100 |
3,854 |
$22K |
| T4530 |
Ped size brief/diaper lg |
288 |
281 |
$22K |
| A4402 |
Lubricant per ounce |
4,342 |
4,005 |
$19K |
| A4217 |
Sterile water/saline, 500 ml |
775 |
703 |
$16K |
| A4358 |
Urinary leg or abdomen bag |
1,439 |
1,306 |
$12K |
| T4523 |
Adult size brief/diaper lg |
130 |
128 |
$10K |
| A4213 |
20+ cc syringe only |
1,329 |
1,279 |
$9K |
| A4332 |
Lube sterile packet |
2,520 |
2,391 |
$9K |
| A4338 |
Indwelling catheter latex |
136 |
126 |
$4K |
| A4322 |
Irrigation syringe |
476 |
448 |
$3K |
| A4349 |
Disposable male external cat |
53 |
48 |
$2K |
| A4399 |
Ostomy irrig cone/cath w brs |
164 |
159 |
$2K |
| A4456 |
Adhesive remover, wipes |
263 |
241 |
$1K |
| A4452 |
Waterproof tape |
50 |
49 |
$829.39 |
| A4333 |
Urinary cath anchor device |
63 |
50 |
$458.29 |
| A4369 |
Skin barrier liquid per oz |
27 |
27 |
$44.95 |
| A4520 |
Incontinence garment anytype |
254 |
195 |
$0.00 |