| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 9,840 | $360 | $3.6M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 42,890 | $60 | $2.4M |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding… | 2,160 | $680 | $1.5M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 8,790 | $130 | $1.2M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 2,120 | $360 | $772K |
| 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… | 4,870 | $110 | $545.9K |
| E0601 | Continuous positive airway pressure (CPAP) device | 10,730 | $50 | $493.6K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5,180 | $90 | $476.6K |
| A7030 | Full face mask used with positive airway pressure device, each | 7,070 | $60 | $445.3K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,… | 2,020 | $210 | $417.1K |