| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary cath |
12,681 |
10,497 |
$5.38M |
| A4459 |
Transanal irrigation, any |
7,499 |
5,504 |
$4.23M |
| A4351 |
Straight tip urine catheter |
29,522 |
24,319 |
$2.84M |
| A4453 |
Rec cath any transanal, each |
3,149 |
2,308 |
$2.54M |
| A9900 |
Supply/accessory/service |
2,293 |
1,551 |
$2.48M |
| A4385 |
Ost skn barrier sld ext wear |
34,139 |
27,395 |
$1.29M |
| A4352 |
Coude tip urinary catheter |
4,689 |
3,977 |
$1.22M |
| A4409 |
Ost skn barr convex <=4 sq i |
18,883 |
14,958 |
$932K |
| A4362 |
Solid skin barrier |
33,088 |
26,764 |
$814K |
| A4407 |
Ext wear ost skn barr <=4sq" |
11,474 |
9,312 |
$695K |
| T4534 |
Youth size pull-on |
5,992 |
5,659 |
$574K |
| A4425 |
Ost pch drain for barrier fl |
17,437 |
14,139 |
$521K |
| A5057 |
1 pc ost pou w built-in conv |
4,126 |
3,250 |
$421K |
| A5121 |
Solid skin barrier 6x6 |
7,708 |
6,203 |
$378K |
| E1399 |
Durable medical equipment mi |
810 |
527 |
$360K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
9,712 |
8,031 |
$328K |
| A4554 |
Disposable underpads |
10,746 |
10,076 |
$301K |
| A4394 |
Ostomy pouch liq deodorant |
31,916 |
26,158 |
$269K |
| A4410 |
Ost skn barr extnd >4 sq |
2,805 |
2,272 |
$236K |
| A5056 |
1 pc ost pouch w filter |
4,271 |
3,436 |
$233K |
| A4456 |
Adhesive remover, wipes |
41,314 |
34,351 |
$210K |
| A5063 |
Drain ostomy pouch w/flange |
11,153 |
9,006 |
$209K |
| T4526 |
Adult size pull-on med |
2,202 |
2,070 |
$204K |
| T4522 |
Adult size brief/diaper med |
2,213 |
2,094 |
$175K |
| A4419 |
Ost pch for bar w flange/flt |
4,557 |
3,648 |
$175K |
| A4424 |
Ost pch drain w bar & filter |
3,470 |
2,891 |
$156K |
| A4427 |
Ost pch drain/barr lk flng/f |
6,523 |
5,360 |
$153K |
| T4530 |
Ped size brief/diaper lg |
2,030 |
1,933 |
$138K |
| A4406 |
Pectin based ostomy paste |
15,061 |
12,177 |
$129K |
| A5120 |
Skin barrier, wipe or swab |
37,398 |
30,737 |
$126K |
| A4349 |
Disposable male external cat |
5,929 |
4,728 |
$122K |
| T4527 |
Adult size pull-on lg |
1,211 |
1,103 |
$110K |
| A4357 |
Bedside drainage bag |
17,106 |
13,750 |
$107K |
| A4373 |
Skin barrier with flange |
2,116 |
1,672 |
$98K |
| A4432 |
Os pch urine w bar/fange/tap |
3,932 |
3,171 |
$96K |
| T4523 |
Adult size brief/diaper lg |
1,048 |
973 |
$89K |
| A4389 |
Drainable pch w st wear barr |
1,900 |
1,472 |
$86K |
| A4927 |
Non-sterile gloves |
8,554 |
8,019 |
$86K |
| A5061 |
Pouch drainable w barrier at |
2,556 |
2,163 |
$82K |
| A4388 |
Drainable pch w ex wear barr |
2,241 |
1,903 |
$79K |
| A4408 |
Ext wear ost skn barr >4sq" |
1,086 |
820 |
$74K |
| T4525 |
Adult size pull-on sm |
787 |
743 |
$64K |
| T4532 |
Ped size pull-on lg |
772 |
732 |
$62K |
| A4332 |
Lube sterile packet |
5,144 |
4,251 |
$61K |
| T4521 |
Adult size brief/diaper sm |
666 |
628 |
$49K |
| A4371 |
Skin barrier powder per oz |
15,774 |
13,127 |
$48K |
| A4393 |
Urine pch w ex wear bar conv |
732 |
582 |
$42K |
| A4358 |
Urinary leg or abdomen bag |
8,506 |
6,956 |
$42K |
| A4416 |
Ost pch clsd w barrier/filtr |
705 |
537 |
$40K |
| T4524 |
Adult size brief/diaper xl |
337 |
321 |
$34K |
| T4528 |
Adult size pull-on xl |
335 |
299 |
$34K |
| A4335 |
Incontinence supply |
1,868 |
1,647 |
$32K |
| A4423 |
Ost pch for bar w lk fl/fltr |
785 |
643 |
$32K |
| A4367 |
Ostomy belt |
7,478 |
6,070 |
$31K |
| T4535 |
Disposable liner/shield/pad |
1,134 |
1,041 |
$30K |
| A4430 |
Ost urine pch w b/bltin conv |
445 |
368 |
$29K |
| A4314 |
Cath w/drainage 2-way latex |
2,527 |
2,020 |
$28K |
| A4390 |
Drainable pch ex wear convex |
408 |
339 |
$28K |
| A4315 |
Cath w/drainage 2-way silcne |
1,076 |
913 |
$25K |
| A4452 |
Waterproof tape |
3,682 |
2,982 |
$24K |
| A4415 |
Ost skn barr w/o conv >4 sqi |
494 |
392 |
$24K |
| A4433 |
Urine ost pch bar w lock fln |
874 |
705 |
$22K |
| A4369 |
Skin barrier liquid per oz |
4,567 |
3,796 |
$15K |
| A4411 |
Ost skn barr extnd =4sq |
281 |
241 |
$13K |
| A4455 |
Adhesive remover per ounce |
5,974 |
4,926 |
$13K |
| A4413 |
2 pc drainable ost pouch |
248 |
218 |
$12K |
| A4333 |
Urinary cath anchor device |
1,160 |
937 |
$11K |
| A4402 |
Lubricant per ounce |
2,385 |
1,997 |
$10K |
| A5054 |
Clsd ostomy pouch w/flange |
313 |
254 |
$10K |
| A4450 |
Non-waterproof tape |
1,491 |
1,222 |
$7K |
| A4412 |
Ost pouch drain high output |
209 |
167 |
$7K |
| A4322 |
Irrigation syringe |
275 |
243 |
$5K |
| A4364 |
Adhesive, liquid or equal |
1,237 |
1,015 |
$5K |
| T4541 |
Large disposable underpad |
48 |
32 |
$4K |
| A5073 |
Urinary pouch on barr w/flng |
166 |
136 |
$4K |
| A4428 |
Urine ost pouch w faucet/tap |
83 |
66 |
$4K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,220 |
992 |
$3K |
| A4354 |
Cath insertion tray w/bag |
19 |
13 |
$3K |
| A4338 |
Indwelling catheter latex |
746 |
570 |
$3K |
| A4344 |
Cath indw foley 2 way silicn |
308 |
253 |
$3K |
| A4312 |
Cath w/o bag 2-way silicone |
52 |
39 |
$2K |
| A4396 |
Peristomal hernia supprt blt |
139 |
125 |
$2K |
| A4405 |
Nonpectin based ostomy paste |
170 |
153 |
$1K |
| A5055 |
Stoma cap |
49 |
40 |
$612.58 |
| A4310 |
Insert tray w/o bag/cath |
83 |
72 |
$457.76 |