| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
953 |
799 |
$27K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
356 |
324 |
$27K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
626 |
544 |
$12K |
| 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 |
150 |
124 |
$12K |
| 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 |
591 |
539 |
$9K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
1,127 |
1,000 |
$7K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
402 |
347 |
$6K |
| A6583 |
Gradient compression wrap with adjustable straps, below knee, each |
146 |
74 |
$5K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
277 |
240 |
$3K |
| A4452 |
Tape, waterproof, per 18 square inches |
597 |
544 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
1,164 |
1,037 |
$2K |
| A6585 |
Gradient compression wrap with adjustable straps, above knee, each |
26 |
13 |
$2K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
36 |
33 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
661 |
609 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,256 |
1,139 |
$902.79 |
| 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 |
12 |
12 |
$839.33 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
132 |
118 |
$659.54 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
43 |
40 |
$520.35 |
| 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 |
15 |
14 |
$325.19 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
43 |
38 |
$323.97 |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
12 |
12 |
$241.01 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
70 |
65 |
$166.32 |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
20 |
13 |
$94.54 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
256 |
215 |
$55.70 |
| A6594 |
Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each |
24 |
12 |
$53.04 |