| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
2,337 |
2,142 |
$893K |
| 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 |
1,023 |
941 |
$407K |
| 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 |
2,094 |
1,948 |
$389K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
818 |
741 |
$176K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
834 |
780 |
$165K |
| 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 |
763 |
704 |
$140K |
| A4452 |
Tape, waterproof, per 18 square inches |
3,157 |
2,943 |
$124K |
| A6154 |
Wound pouch, each |
729 |
630 |
$110K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,564 |
4,156 |
$104K |
| A6220 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
572 |
523 |
$95K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
1,519 |
1,413 |
$84K |
| 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 |
772 |
730 |
$72K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
2,508 |
2,325 |
$70K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
2,446 |
2,261 |
$53K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
224 |
203 |
$49K |
| A6260 |
Wound cleansers, any type, any size |
2,280 |
2,134 |
$46K |
| 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 |
208 |
199 |
$41K |
| A4927 |
Gloves, non-sterile, per 100 |
3,862 |
3,600 |
$26K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
418 |
371 |
$23K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
683 |
640 |
$19K |
| T4541 |
Incontinence product, disposable underpad, large, each |
538 |
495 |
$16K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
266 |
244 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
72 |
69 |
$6K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
53 |
53 |
$6K |
| A5112 |
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
55 |
52 |
$5K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
284 |
269 |
$3K |
| A4322 |
Irrigation syringe, bulb or piston, each |
54 |
51 |
$3K |
| A4372 |
Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each |
38 |
37 |
$2K |
| A4670 |
Automatic blood pressure monitor |
49 |
48 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
151 |
129 |
$2K |
| A6450 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard |
26 |
25 |
$1K |
| A4371 |
Ostomy skin barrier, powder, per oz |
329 |
314 |
$999.32 |
| A4247 |
Betadine or iodine swabs/wipes, per box |
185 |
169 |
$931.72 |
| A5120 |
Skin barrier, wipes or swabs, each |
49 |
49 |
$435.99 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
14 |
12 |
$411.12 |