| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
6,742 |
5,933 |
$3.59M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
10,140 |
9,363 |
$1.47M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
1,510 |
1,432 |
$538K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
1,364 |
1,165 |
$213K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,383 |
1,317 |
$125K |
| A4554 |
Disposable underpads, all sizes |
5,092 |
4,852 |
$121K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
1,417 |
1,209 |
$90K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
933 |
915 |
$86K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
721 |
697 |
$76K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,968 |
2,542 |
$43K |
| A4335 |
Incontinence supply; miscellaneous |
7,266 |
6,839 |
$43K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,095 |
1,068 |
$38K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
342 |
331 |
$27K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,049 |
1,026 |
$27K |
| A4927 |
Gloves, non-sterile, per 100 |
4,100 |
3,854 |
$22K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
288 |
281 |
$22K |
| A4402 |
Lubricant, per ounce |
4,342 |
4,005 |
$19K |
| A4217 |
Sterile water/saline, 500 ml |
775 |
703 |
$16K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,439 |
1,306 |
$12K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
130 |
128 |
$10K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
1,329 |
1,279 |
$9K |
| A4332 |
Lubricant, individual sterile packet, each |
2,520 |
2,391 |
$9K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
136 |
126 |
$4K |
| A4322 |
Irrigation syringe, bulb or piston, each |
476 |
448 |
$3K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
53 |
48 |
$2K |
| A4399 |
Ostomy irrigation supply; cone/catheter, with or without brush |
164 |
159 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
263 |
241 |
$1K |
| A4452 |
Tape, waterproof, per 18 square inches |
50 |
49 |
$829.39 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
63 |
50 |
$458.29 |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
27 |
27 |
$44.95 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
254 |
195 |
$0.00 |