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A6404
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Medicaid paid $486K on code A6404 from 2018 through 2024, to 7 providers — the #4,618 code in the file by dollars. 89% of it was billed in Maryland.
28Total paid$486K
24GClaims5,450
Paid per claim line$89.16
33Providers billing it7
Box 32 · Location
Where A6404 is billed
The largest of 3 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing A6404
| # | Provider | Location | Claims | Paid on A6404 |
|---|---|---|---|---|
| 1 | United Medical Equipments and Services, LLC | Beltsville, MD | 3,630 | $431K |
| 2 | Phast Pharmacy | Bakersfield, CA | 584 | $42K |
| 3 | Premier Infusion and Healthcare Services, INC. | Torrance, CA | 869 | $11K |
| 4 | SPRX, INC. | Bakersfield, CA | 41 | $2K |
| 5 | Gary Chen MD INC | Los Angeles, CA | 137 | $520.27 |
| 6 | Barnes Dental Corporation INC | Visalia, CA | 175 | $327.39 |
| 7 | Astera Health | Wadena, MN | 14 | $2.39 |