| Code | Description | Claims | Beneficiaries | Total Paid |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
7,818 |
7,259 |
$718K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
13,792 |
12,933 |
$508K |
| 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 |
1,887 |
1,743 |
$225K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
8,397 |
7,774 |
$194K |
| 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 |
5,075 |
4,606 |
$160K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
16,938 |
15,753 |
$152K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
5,078 |
4,765 |
$118K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
8,062 |
7,695 |
$110K |
| A4452 |
Tape, waterproof, per 18 square inches |
13,662 |
12,974 |
$95K |
| 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 |
909 |
819 |
$74K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
1,869 |
1,815 |
$63K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
1,567 |
1,467 |
$48K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
581 |
497 |
$47K |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
763 |
707 |
$44K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
7,327 |
6,855 |
$38K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
12,146 |
11,370 |
$35K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
6,026 |
5,603 |
$32K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,988 |
2,765 |
$30K |
| A6242 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
970 |
931 |
$22K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
2,070 |
2,002 |
$20K |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
378 |
355 |
$17K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,072 |
1,031 |
$16K |
| 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 |
718 |
690 |
$13K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
345 |
333 |
$11K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
799 |
765 |
$9K |
| A6441 |
Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard |
632 |
583 |
$9K |
| 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 |
509 |
462 |
$7K |
| A6407 |
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard |
93 |
89 |
$2K |
| A4623 |
Tracheostomy, inner cannula |
183 |
180 |
$2K |
| A6261 |
Wound filler, gel/paste, per fluid ounce, not otherwise specified |
205 |
194 |
$2K |
| A6456 |
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
112 |
106 |
$1K |
| A7526 |
Tracheostomy tube collar/holder, each |
278 |
274 |
$1K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
591 |
550 |
$1K |
| 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 |
12 |
12 |
$1K |
| A6450 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard |
103 |
94 |
$1K |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
77 |
74 |
$898.18 |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
650 |
613 |
$489.02 |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
18 |
14 |
$444.84 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
184 |
175 |
$396.12 |
| A4626 |
Tracheostomy cleaning brush, each |
94 |
62 |
$356.12 |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
64 |
61 |
$298.68 |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
60 |
58 |
$201.88 |
| A6207 |
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
12 |
12 |
$160.61 |
| A6254 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
14 |
14 |
$68.01 |
| A6403 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
12 |
12 |
$62.16 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
19 |
15 |
$7.96 |