| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6023 |
Collagen dressing, sterile, size more than 48 sq. in., each |
1,228 |
1,066 |
$990K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
9,291 |
8,458 |
$758K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
14,237 |
12,978 |
$673K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
21,386 |
19,182 |
$527K |
| 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 |
7,485 |
6,747 |
$441K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
8,741 |
7,889 |
$215K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
5,073 |
4,573 |
$75K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
2,236 |
2,015 |
$45K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
2,831 |
2,572 |
$40K |
| A6237 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
2,492 |
2,316 |
$34K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,274 |
3,923 |
$30K |
| A4452 |
Tape, waterproof, per 18 square inches |
8,010 |
7,261 |
$27K |
| A6011 |
Collagen based wound filler, gel/paste, per gram of collagen |
1,471 |
1,355 |
$26K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
395 |
296 |
$23K |
| 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 |
1,997 |
1,834 |
$23K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
10,323 |
9,477 |
$22K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
2,135 |
1,965 |
$21K |
| 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 |
285 |
255 |
$17K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
826 |
750 |
$12K |
| A6240 |
Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
2,225 |
2,057 |
$12K |
| 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 |
1,155 |
1,091 |
$11K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
793 |
727 |
$10K |
| A6198 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |
75 |
71 |
$7K |
| 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 |
277 |
250 |
$5K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
245 |
220 |
$4K |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
370 |
355 |
$3K |
| A6242 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
204 |
190 |
$3K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
299 |
268 |
$2K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
174 |
169 |
$978.85 |
| A6238 |
Hydrocolloid 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 |
13 |
12 |
$774.86 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
501 |
458 |
$669.50 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
161 |
137 |
$590.44 |
| A6231 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
15 |
13 |
$474.30 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
455 |
417 |
$352.41 |
| 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 |
41 |
39 |
$347.53 |
| A6261 |
Wound filler, gel/paste, per fluid ounce, not otherwise specified |
102 |
94 |
$279.71 |
| A6235 |
Hydrocolloid 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 |
51 |
49 |
$243.31 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
491 |
451 |
$221.73 |
| A6204 |
Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
50 |
50 |
$198.06 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
164 |
142 |
$62.69 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
81 |
79 |
$54.92 |
| A6441 |
Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard |
14 |
13 |
$46.42 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
30 |
28 |
$28.00 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
36 |
32 |
$7.24 |