| Code | Description | Claims | Beneficiaries | Total Paid |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
2,943 |
2,749 |
$381K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
5,248 |
4,881 |
$214K |
| 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 |
1,606 |
1,495 |
$180K |
| A4623 |
Tracheostomy, inner cannula |
3,193 |
3,008 |
$157K |
| A7526 |
Tracheostomy tube collar/holder, each |
2,793 |
2,644 |
$78K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
390 |
362 |
$54K |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
3,468 |
3,254 |
$40K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
1,689 |
1,579 |
$36K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
1,204 |
1,099 |
$33K |
| 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 |
1,407 |
1,322 |
$27K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
3,321 |
3,103 |
$24K |
| A4452 |
Tape, waterproof, per 18 square inches |
3,266 |
3,073 |
$20K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
3,731 |
3,489 |
$13K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
5,714 |
5,313 |
$13K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
582 |
581 |
$9K |
| A5061 |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
333 |
304 |
$9K |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
2,956 |
2,713 |
$9K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,105 |
1,023 |
$5K |
| 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 |
507 |
459 |
$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 |
714 |
681 |
$3K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
83 |
83 |
$3K |
| A6245 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
90 |
88 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,311 |
1,171 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,085 |
966 |
$2K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
242 |
224 |
$1K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
797 |
734 |
$1K |
| A4315 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
1,095 |
1,010 |
$1K |
| A6231 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
29 |
28 |
$1K |
| 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 |
39 |
37 |
$992.40 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
485 |
428 |
$984.80 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
2,433 |
2,279 |
$715.54 |
| A6242 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
115 |
109 |
$451.00 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
327 |
317 |
$448.15 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
126 |
112 |
$442.98 |
| A6237 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
38 |
37 |
$301.05 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
90 |
84 |
$232.50 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
112 |
110 |
$103.52 |
| A4371 |
Ostomy skin barrier, powder, per oz |
151 |
137 |
$87.45 |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
26 |
26 |
$76.90 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
13 |
12 |
$36.64 |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
30 |
27 |
$0.00 |