| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 20,130 | $70 | $1.5M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 1,210 | $610 | $733.2K |
| 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… | 6,840 | $110 | $731.7K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2,770 | $180 | $495.5K |
| E0601 | Continuous positive airway pressure (CPAP) device | 9,460 | $50 | $425.5K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 1,640 | $230 | $380.2K |
| 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,… | 2,280 | $150 | $351.1K |
| S8189 | Tracheostomy supply, not otherwise classified | 1,480 | $210 | $316.1K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 2,440 | $110 | $278K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 13,580 | $20 | $230.9K |