| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
67,935 |
59,076 |
$5.29M |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
190,284 |
163,681 |
$4.85M |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
71,153 |
60,741 |
$3.80M |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
94,122 |
79,186 |
$1.47M |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
38,442 |
33,466 |
$1.46M |
| A4452 |
Tape, waterproof, per 18 square inches |
128,089 |
109,662 |
$876K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
130,050 |
111,015 |
$779K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
41,984 |
36,063 |
$761K |
| A6023 |
Collagen dressing, sterile, size more than 48 sq. in., each |
2,554 |
2,212 |
$724K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
21,441 |
18,441 |
$720K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
63,544 |
54,080 |
$645K |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
80,090 |
67,730 |
$615K |
| A6210 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
28,140 |
22,983 |
$559K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
17,176 |
14,570 |
$342K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
42,676 |
38,065 |
$290K |
| A4623 |
Tracheostomy, inner cannula |
14,478 |
12,694 |
$272K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
43,427 |
37,912 |
$220K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
15,660 |
13,170 |
$169K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
15,680 |
13,619 |
$166K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
16,368 |
14,666 |
$154K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
71,859 |
62,496 |
$153K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
67,483 |
58,916 |
$151K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
131,739 |
114,283 |
$149K |
| A6242 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14,337 |
12,868 |
$148K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
22,929 |
19,221 |
$121K |
| A6022 |
Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each |
3,333 |
2,886 |
$116K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
10,754 |
9,056 |
$110K |
| A6237 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
11,345 |
9,863 |
$107K |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
1,385 |
1,188 |
$102K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
6,037 |
5,178 |
$95K |
| A6231 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
10,057 |
8,983 |
$91K |
| A4315 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
42,129 |
36,975 |
$89K |
| A7526 |
Tracheostomy tube collar/holder, each |
15,168 |
13,277 |
$84K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
20,969 |
17,674 |
$80K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
9,062 |
7,849 |
$80K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
12,602 |
10,653 |
$79K |
| A6223 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
9,949 |
8,708 |
$78K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
22,766 |
19,837 |
$78K |
| A6245 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
6,383 |
5,850 |
$74K |
| A6456 |
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
7,102 |
6,026 |
$67K |
| A6211 |
Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
1,729 |
1,463 |
$63K |
| A6204 |
Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
4,527 |
3,629 |
$59K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
9,537 |
8,227 |
$57K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
10,946 |
9,459 |
$57K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
4,953 |
4,457 |
$55K |
| A6235 |
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
2,612 |
2,272 |
$54K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
29,169 |
25,055 |
$53K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
11,586 |
10,161 |
$53K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
28,423 |
24,398 |
$49K |
| A4456 |
Adhesive remover, wipes, any type, each |
31,874 |
26,972 |
$48K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
5,369 |
4,470 |
$48K |
| A5120 |
Skin barrier, wipes or swabs, each |
42,967 |
36,437 |
$47K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
14,693 |
12,230 |
$42K |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
64,952 |
56,507 |
$41K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
2,994 |
2,413 |
$38K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
6,404 |
5,629 |
$31K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
4,041 |
3,448 |
$31K |
| A4419 |
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
2,892 |
2,430 |
$31K |
| A6243 |
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
1,367 |
1,224 |
$28K |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
3,453 |
3,015 |
$26K |
| A6259 |
Transparent film, sterile, more than 48 sq. in., each dressing |
1,358 |
1,143 |
$22K |
| A4432 |
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
2,920 |
2,440 |
$22K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
4,462 |
3,625 |
$21K |
| A4340 |
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
6,437 |
5,635 |
$21K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
5,427 |
4,861 |
$21K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
6,093 |
5,500 |
$19K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
2,489 |
2,185 |
$18K |
| A4410 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
2,129 |
1,783 |
$18K |
| A4415 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each |
2,109 |
1,773 |
$18K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
551 |
483 |
$17K |
| A4373 |
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each |
1,609 |
1,372 |
$16K |
| A6407 |
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard |
2,946 |
2,525 |
$14K |
| A4371 |
Ostomy skin barrier, powder, per oz |
11,433 |
9,802 |
$14K |
| A6198 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |
183 |
159 |
$14K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
6,438 |
5,512 |
$13K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
638 |
411 |
$12K |
| A4354 |
Insertion tray with drainage bag but without catheter |
9,668 |
8,568 |
$12K |
| A5054 |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
1,043 |
804 |
$11K |
| A6441 |
Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard |
2,814 |
2,313 |
$11K |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
1,159 |
1,048 |
$10K |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
1,222 |
1,023 |
$10K |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
2,516 |
2,070 |
$8K |
| A4417 |
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each |
429 |
331 |
$7K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
1,786 |
1,597 |
$7K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
324 |
276 |
$7K |
| A4428 |
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
791 |
685 |
$7K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
1,605 |
1,373 |
$6K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
3,493 |
3,084 |
$5K |
| L8501 |
Tracheostomy speaking valve |
927 |
772 |
$5K |
| A4311 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
2,441 |
2,186 |
$4K |
| A6246 |
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
342 |
301 |
$4K |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
3,360 |
2,987 |
$4K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
351 |
283 |
$3K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,043 |
931 |
$3K |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
364 |
315 |
$2K |
| A6220 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
419 |
378 |
$2K |
| A4312 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone |
1,281 |
1,123 |
$2K |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
822 |
721 |
$2K |
| A4363 |
Ostomy clamp, any type, replacement only, each |
3,658 |
3,234 |
$2K |
| A4416 |
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each |
96 |
75 |
$900.70 |
| A4367 |
Ostomy belt, each |
733 |
615 |
$894.15 |
| A4430 |
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
29 |
24 |
$835.72 |
| A6207 |
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
68 |
60 |
$789.97 |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
303 |
253 |
$713.40 |
| A6232 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing |
41 |
37 |
$501.43 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
518 |
479 |
$408.08 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
16 |
15 |
$250.52 |
| A4408 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each |
13 |
13 |
$213.27 |
| A5114 |
Leg strap; foam or fabric, replacement only, per set |
193 |
183 |
$193.18 |
| A4369 |
Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
124 |
111 |
$49.11 |
| A6254 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
48 |
47 |
$46.22 |
| A4332 |
Lubricant, individual sterile packet, each |
47 |
45 |
$24.36 |
| A4328 |
Female external urinary collection device; pouch, each |
12 |
12 |
$18.01 |