| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
12,968 |
11,550 |
$1.26M |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
31,232 |
28,232 |
$905K |
| A6023 |
Collagen dressing, sterile, size more than 48 sq. in., each |
521 |
437 |
$689K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
8,551 |
7,708 |
$583K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
28,402 |
25,524 |
$512K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
6,177 |
5,502 |
$250K |
| 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 |
3,004 |
2,684 |
$179K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
25,211 |
22,555 |
$151K |
| 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 |
11,854 |
10,645 |
$151K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
3,122 |
2,768 |
$91K |
| A6198 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |
821 |
724 |
$89K |
| 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 |
9,844 |
9,039 |
$83K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
10,296 |
9,357 |
$74K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
18,651 |
17,036 |
$62K |
| 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 |
2,281 |
1,980 |
$54K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
24,989 |
22,514 |
$48K |
| A6231 |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
2,516 |
2,255 |
$38K |
| 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 |
2,905 |
2,663 |
$27K |
| A6214 |
Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
917 |
804 |
$20K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,049 |
957 |
$20K |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
1,895 |
1,743 |
$15K |
| A6450 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard |
1,787 |
1,575 |
$13K |
| A4623 |
Tracheostomy, inner cannula |
303 |
303 |
$11K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
629 |
576 |
$8K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
658 |
594 |
$8K |
| A7526 |
Tracheostomy tube collar/holder, each |
227 |
227 |
$4K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
927 |
852 |
$4K |
| A6456 |
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
531 |
453 |
$4K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
659 |
586 |
$4K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
259 |
231 |
$3K |
| A6237 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
224 |
196 |
$2K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
85 |
85 |
$2K |
| A4452 |
Tape, waterproof, per 18 square inches |
640 |
604 |
$1K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
207 |
205 |
$1K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
81 |
81 |
$1K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
515 |
505 |
$907.25 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
239 |
234 |
$865.87 |
| A6221 |
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
165 |
153 |
$830.25 |
| A4456 |
Adhesive remover, wipes, any type, each |
250 |
248 |
$479.96 |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
172 |
162 |
$437.82 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
198 |
161 |
$357.44 |
| A5120 |
Skin barrier, wipes or swabs, each |
314 |
312 |
$346.88 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
253 |
213 |
$184.00 |
| A6407 |
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard |
44 |
41 |
$172.93 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
220 |
219 |
$155.32 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
197 |
192 |
$142.71 |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
13 |
13 |
$109.10 |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
203 |
202 |
$50.03 |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
27 |
26 |
$48.96 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
31 |
29 |
$48.77 |
| A4371 |
Ostomy skin barrier, powder, per oz |
214 |
213 |
$38.55 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
113 |
106 |
$37.39 |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
30 |
28 |
$3.65 |