| 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 |
10,862 |
9,965 |
$129K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
2,965 |
2,626 |
$125K |
| 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 |
3,664 |
3,301 |
$121K |
| A4452 |
Tape, waterproof, per 18 square inches |
7,163 |
6,517 |
$70K |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
4,617 |
4,258 |
$46K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
4,211 |
3,871 |
$46K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
1,870 |
1,714 |
$34K |
| 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 |
4,443 |
4,055 |
$17K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
906 |
790 |
$16K |
| A4623 |
Tracheostomy, inner cannula |
1,367 |
1,236 |
$16K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
7,283 |
6,594 |
$13K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
6,696 |
5,945 |
$11K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,761 |
1,564 |
$10K |
| A6242 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
790 |
719 |
$10K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
5,664 |
5,089 |
$9K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,340 |
2,165 |
$9K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
1,355 |
1,226 |
$9K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
1,671 |
1,476 |
$9K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
842 |
752 |
$8K |
| 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 |
706 |
640 |
$8K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
11,507 |
10,227 |
$7K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
619 |
574 |
$6K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,018 |
1,881 |
$6K |
| A4315 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
2,835 |
2,552 |
$5K |
| A5120 |
Skin barrier, wipes or swabs, each |
3,447 |
3,068 |
$5K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
675 |
622 |
$5K |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
5,980 |
5,283 |
$4K |
| 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 |
240 |
209 |
$4K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
666 |
600 |
$3K |
| A4456 |
Adhesive remover, wipes, any type, each |
2,521 |
2,247 |
$3K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
470 |
427 |
$3K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
1,517 |
1,388 |
$3K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
782 |
735 |
$3K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,497 |
1,388 |
$3K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
346 |
321 |
$3K |
| A6231 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
101 |
94 |
$2K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
234 |
215 |
$2K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
458 |
388 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
3,580 |
3,118 |
$1K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
318 |
290 |
$1K |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
503 |
442 |
$879.69 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
1,099 |
1,013 |
$814.93 |
| A4354 |
Insertion tray with drainage bag but without catheter |
672 |
601 |
$762.40 |
| A6237 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
147 |
141 |
$749.74 |
| A4340 |
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
429 |
369 |
$732.07 |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
137 |
128 |
$721.56 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
133 |
118 |
$529.35 |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
233 |
212 |
$438.21 |
| A6245 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
13 |
12 |
$335.15 |
| A4371 |
Ostomy skin barrier, powder, per oz |
96 |
90 |
$332.93 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
36 |
31 |
$163.26 |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
66 |
62 |
$153.20 |
| 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 |
12 |
12 |
$145.80 |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
161 |
143 |
$57.87 |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
78 |
69 |
$28.18 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
36 |
26 |
$16.22 |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
34 |
30 |
$9.50 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
13 |
12 |
$4.40 |
| A4311 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
29 |
28 |
$4.16 |