| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 10,190 | $100 | $998.7K |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits… | 84,000 | $10 | $588K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4,290 | $40 | $162.9K |
| B4224 | Parenteral nutrition administration kit, per day | 1,730 | $80 | $136.9K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 1,650 | $80 | $130.5K |
| 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,… | 930 | $110 | $101.3K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | 1,170 | $70 | $83.9K |
| 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… | 270 | $310 | $83K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 3,940 | $10 | $55.2K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 1,740 | $30 | $45.1K |