| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
5,026 |
4,139 |
$566K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
5,723 |
4,676 |
$381K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
3,496 |
3,031 |
$231K |
| 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 |
1,408 |
1,118 |
$202K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
4,408 |
3,582 |
$179K |
| 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 |
5,585 |
4,476 |
$156K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,145 |
2,574 |
$127K |
| 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 |
873 |
718 |
$83K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
5,818 |
4,643 |
$72K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,043 |
3,462 |
$70K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
9,442 |
7,807 |
$52K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
887 |
710 |
$42K |
| A4452 |
Tape, waterproof, per 18 square inches |
4,992 |
4,135 |
$40K |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
742 |
602 |
$39K |
| 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 |
652 |
538 |
$26K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
6,707 |
5,586 |
$19K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
98 |
75 |
$19K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
921 |
730 |
$18K |
| A6198 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |
62 |
48 |
$15K |
| A6213 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
243 |
186 |
$12K |
| A6260 |
Wound cleansers, any type, any size |
4,498 |
3,651 |
$12K |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
841 |
699 |
$12K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,832 |
1,520 |
$11K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
298 |
234 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
2,382 |
1,917 |
$9K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
958 |
806 |
$8K |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
449 |
358 |
$7K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
311 |
171 |
$6K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
274 |
237 |
$5K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
111 |
95 |
$4K |
| A6207 |
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
412 |
335 |
$4K |
| A5120 |
Skin barrier, wipes or swabs, each |
737 |
610 |
$2K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
520 |
429 |
$1K |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
113 |
93 |
$1K |
| A6407 |
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard |
16 |
13 |
$665.03 |
| A6206 |
Contact layer, sterile, 16 sq. in. or less, each dressing |
82 |
68 |
$562.86 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
893 |
708 |
$549.39 |
| A6445 |
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard |
53 |
39 |
$220.62 |
| A6261 |
Wound filler, gel/paste, per fluid ounce, not otherwise specified |
70 |
66 |
$217.94 |
| A9270 |
Non-covered item or service |
738 |
603 |
$173.62 |