| Code | Description | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
$3.11M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
$257K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
$223K |
| A4554 |
Disposable underpads, all sizes |
$210K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
$187K |
| S5185 |
Medication reminder service, non-face-to-face; per month |
$128K |
| A4453 |
Rectal catheter with or without balloon, for use with any type transanal irrigation system, each |
$107K |
| E0570 |
Nebulizer, with compressor |
$89K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
$52K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
$44K |