| 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 |
749 |
664 |
$12K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
115 |
102 |
$3K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
229 |
198 |
$3K |
| 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 |
115 |
98 |
$3K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
498 |
440 |
$1K |
| A4452 |
Tape, waterproof, per 18 square inches |
352 |
316 |
$818.95 |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
190 |
172 |
$779.45 |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
53 |
47 |
$594.86 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
138 |
126 |
$391.95 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
257 |
233 |
$387.81 |
| 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 |
35 |
30 |
$288.52 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
48 |
42 |
$50.99 |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
47 |
38 |
$34.50 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
31 |
31 |
$4.18 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
12 |
12 |
$4.02 |
| A5120 |
Skin barrier, wipes or swabs, each |
18 |
15 |
$0.00 |