| 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 |
5,462 |
4,851 |
$314K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
2,439 |
2,242 |
$309K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
4,524 |
3,982 |
$183K |
| 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 |
4,558 |
4,078 |
$136K |
| 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 |
1,036 |
918 |
$117K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
4,808 |
4,359 |
$105K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,636 |
2,452 |
$52K |
| A4452 |
Tape, waterproof, per 18 square inches |
7,142 |
6,509 |
$50K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
10,837 |
9,793 |
$45K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,566 |
2,285 |
$40K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
4,083 |
3,749 |
$28K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,416 |
1,303 |
$21K |
| 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 |
632 |
569 |
$17K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
1,071 |
979 |
$16K |
| 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 |
372 |
332 |
$15K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
5,468 |
4,939 |
$11K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
231 |
206 |
$9K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
675 |
621 |
$7K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
165 |
144 |
$7K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
1,015 |
923 |
$5K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
1,759 |
1,608 |
$4K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
277 |
191 |
$3K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
53 |
53 |
$185.64 |
| A6445 |
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard |
29 |
25 |
$131.77 |
| A6206 |
Contact layer, sterile, 16 sq. in. or less, each dressing |
27 |
25 |
$88.87 |
| A6207 |
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
29 |
27 |
$47.86 |