| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 24,090 | $340 | $8.1M |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 9,620 | $460 | $4.5M |
| 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… | 5,150 | $570 | $3M |
| 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,… | 12,190 | $200 | $2.4M |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 3,250 | $700 | $2.3M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 1,870 | $970 | $1.8M |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 1,280 | $840 | $1.1M |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 6,800 | $160 | $1.1M |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 9,320 | $110 | $1M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 5,340 | $160 | $858.9K |