| 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 |
477 |
462 |
$61K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
354 |
346 |
$48K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
231 |
216 |
$15K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
90 |
88 |
$14K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,256 |
1,200 |
$7K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
245 |
239 |
$5K |
| 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 |
25 |
24 |
$5K |
| 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 |
59 |
57 |
$4K |
| A4452 |
Tape, waterproof, per 18 square inches |
457 |
413 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
681 |
561 |
$3K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
75 |
74 |
$2K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
77 |
72 |
$2K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
32 |
32 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
60 |
58 |
$701.90 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
49 |
47 |
$316.01 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
47 |
47 |
$117.98 |