| 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 |
640 |
592 |
$7K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
387 |
346 |
$5K |
| 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 |
381 |
362 |
$4K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
568 |
530 |
$2K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
101 |
89 |
$1K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
61 |
56 |
$932.98 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
334 |
311 |
$752.69 |
| A4452 |
Tape, waterproof, per 18 square inches |
451 |
416 |
$723.54 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
132 |
123 |
$561.64 |
| 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 |
35 |
33 |
$495.36 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
341 |
313 |
$483.79 |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
114 |
103 |
$254.62 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
127 |
120 |
$126.66 |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
12 |
12 |
$121.16 |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
79 |
76 |
$101.57 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
112 |
103 |
$90.56 |
| A4333 |
Urinary catheter anchoring device, adhesive skin attachment, each |
36 |
33 |
$67.15 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$65.28 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
71 |
64 |
$26.85 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
25 |
25 |
$10.94 |
| A5120 |
Skin barrier, wipes or swabs, each |
13 |
12 |
$2.16 |