| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
3,997 |
2,883 |
$419K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
2,254 |
1,848 |
$162K |
| 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 |
1,048 |
827 |
$162K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
2,279 |
1,990 |
$157K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
1,503 |
1,272 |
$152K |
| 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 |
2,267 |
1,966 |
$85K |
| 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 |
523 |
395 |
$65K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
887 |
780 |
$55K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,029 |
895 |
$29K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,454 |
4,019 |
$21K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
482 |
376 |
$20K |
| A4452 |
Tape, waterproof, per 18 square inches |
2,361 |
2,047 |
$18K |
| 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 |
568 |
487 |
$17K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
702 |
615 |
$12K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
158 |
147 |
$9K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
2,051 |
1,782 |
$6K |
| A6260 |
Wound cleansers, any type, any size |
326 |
292 |
$6K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
960 |
883 |
$4K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
153 |
139 |
$4K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
63 |
38 |
$3K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
357 |
316 |
$2K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
95 |
68 |
$2K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
111 |
95 |
$1K |
| 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 |
41 |
37 |
$680.60 |
| A4217 |
Sterile water/saline, 500 ml |
457 |
405 |
$636.56 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
52 |
37 |
$615.79 |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
15 |
15 |
$128.07 |
| A5120 |
Skin barrier, wipes or swabs, each |
39 |
32 |
$86.62 |
| A4927 |
Gloves, non-sterile, per 100 |
29 |
28 |
$68.82 |