| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded… | 6 | 10 | 670 | $580 | $4.6M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 15 | 30 | 2,290 | $150 | $1.8M |
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and… | 6 | 10 | 2,450 | $140 | $851.9K |
| V5261 | Hearing aid, digital, binaural, bte | 16 | 20 | 70 | $1,290 | $782.1K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 44 | 50 | 4,010 | $80 | $640.4K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 8 | 190 | 6,790 | $40 | $579.6K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 15 | 20 | 2,860 | $40 | $313.9K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include… | 57 | 60 | 900 | $80 | $275.5K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100… | 59 | 80 | 1,420 | $70 | $242.4K |
| V5160 | Dispensing fee, binaural | 9 | 20 | 140 | $250 | $210.6K |