| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
12,681 |
10,497 |
$5.38M |
| A4459 |
Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type |
7,499 |
5,504 |
$4.23M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
29,522 |
24,319 |
$2.84M |
| A4453 |
Rectal catheter with or without balloon, for use with any type transanal irrigation system, each |
3,149 |
2,308 |
$2.54M |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
2,293 |
1,551 |
$2.48M |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
34,139 |
27,395 |
$1.29M |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
4,689 |
3,977 |
$1.22M |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
18,883 |
14,958 |
$932K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
33,088 |
26,764 |
$814K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
11,474 |
9,312 |
$695K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
5,992 |
5,659 |
$574K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
17,437 |
14,139 |
$521K |
| A5057 |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
4,126 |
3,250 |
$421K |
| A5121 |
Skin barrier; solid, 6 x 6 or equivalent, each |
7,708 |
6,203 |
$378K |
| E1399 |
Durable medical equipment, miscellaneous |
810 |
527 |
$360K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
9,712 |
8,031 |
$328K |
| A4554 |
Disposable underpads, all sizes |
10,746 |
10,076 |
$301K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
31,916 |
26,158 |
$269K |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
2,805 |
2,272 |
$236K |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
4,271 |
3,436 |
$233K |
| A4456 |
Adhesive remover, wipes, any type, each |
41,314 |
34,351 |
$210K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
11,153 |
9,006 |
$209K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,202 |
2,070 |
$204K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,213 |
2,094 |
$175K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
4,557 |
3,648 |
$175K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
3,470 |
2,891 |
$156K |
| A4427 |
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each |
6,523 |
5,360 |
$153K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
2,030 |
1,933 |
$138K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
15,061 |
12,177 |
$129K |
| A5120 |
Skin barrier, wipes or swabs, each |
37,398 |
30,737 |
$126K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
5,929 |
4,728 |
$122K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,211 |
1,103 |
$110K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
17,106 |
13,750 |
$107K |
| A4373 |
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each |
2,116 |
1,672 |
$98K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
3,932 |
3,171 |
$96K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,048 |
973 |
$89K |
| A4389 |
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each |
1,900 |
1,472 |
$86K |
| A4927 |
Gloves, non-sterile, per 100 |
8,554 |
8,019 |
$86K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
2,556 |
2,163 |
$82K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
2,241 |
1,903 |
$79K |
| A4408 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each |
1,086 |
820 |
$74K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
787 |
743 |
$64K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
772 |
732 |
$62K |
| A4332 |
Lubricant, individual sterile packet, each |
5,144 |
4,251 |
$61K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
666 |
628 |
$49K |
| A4371 |
Ostomy skin barrier, powder, per oz |
15,774 |
13,127 |
$48K |
| A4393 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each |
732 |
582 |
$42K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
8,506 |
6,956 |
$42K |
| A4416 |
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each |
705 |
537 |
$40K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
337 |
321 |
$34K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
335 |
299 |
$34K |
| A4335 |
Incontinence supply; miscellaneous |
1,868 |
1,647 |
$32K |
| A4423 |
Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each |
785 |
643 |
$32K |
| A4367 |
Ostomy belt, each |
7,478 |
6,070 |
$31K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,134 |
1,041 |
$30K |
| A4430 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
445 |
368 |
$29K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
2,527 |
2,020 |
$28K |
| A4390 |
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each |
408 |
339 |
$28K |
| A4315 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
1,076 |
913 |
$25K |
| A4452 |
Tape, waterproof, per 18 square inches |
3,682 |
2,982 |
$24K |
| A4415 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each |
494 |
392 |
$24K |
| A4433 |
Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each |
874 |
705 |
$22K |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
4,567 |
3,796 |
$15K |
| A4411 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each |
281 |
241 |
$13K |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
5,974 |
4,926 |
$13K |
| A4413 |
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each |
248 |
218 |
$12K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
1,160 |
937 |
$11K |
| A4402 |
Lubricant, per ounce |
2,385 |
1,997 |
$10K |
| A5054 |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
313 |
254 |
$10K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
1,491 |
1,222 |
$7K |
| A4412 |
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each |
209 |
167 |
$7K |
| A4322 |
Irrigation syringe, bulb or piston, each |
275 |
243 |
$5K |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
1,237 |
1,015 |
$5K |
| T4541 |
Incontinence product, disposable underpad, large, each |
48 |
32 |
$4K |
| A5073 |
Ostomy pouch, urinary; for use on barrier with flange (2 piece), each |
166 |
136 |
$4K |
| A4428 |
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
83 |
66 |
$4K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,220 |
992 |
$3K |
| A4354 |
Insertion tray with drainage bag but without catheter |
19 |
13 |
$3K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
746 |
570 |
$3K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
308 |
253 |
$3K |
| A4312 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone |
52 |
39 |
$2K |
| A4396 |
Ostomy belt with peristomal hernia support |
139 |
125 |
$2K |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
170 |
153 |
$1K |
| A5055 |
Stoma cap |
49 |
40 |
$612.58 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
83 |
72 |
$457.76 |