| 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… | 3,100 | $880 | $2.7M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 8,600 | $310 | $2.7M |
| 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,… | 3,340 | $370 | $1.2M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 1,220 | $900 | $1.1M |
| B9998 | Noc for enteral supplies | 11,740 | $90 | $1M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 5,490 | $130 | $713.4K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 920 | $510 | $465.8K |
| A4606 | Oxygen probe for use with oximeter device, replacement | 8,070 | $50 | $419.5K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 1,980 | $170 | $340.7K |
| B9002 | Enteral nutrition infusion pump, any type | 2,770 | $100 | $268.8K |