| 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 |
1,217 |
1,038 |
$30K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
1,134 |
916 |
$14K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
353 |
242 |
$8K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
981 |
811 |
$4K |
| 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 |
189 |
166 |
$4K |
| 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 |
311 |
279 |
$3K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
584 |
506 |
$2K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
12 |
12 |
$2K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
142 |
112 |
$908.86 |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
23 |
12 |
$685.58 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
881 |
731 |
$479.13 |