| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1 | 10 | 12,810 | $100 | $985.2K |
| 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… | 1 | 10 | 1,570 | $590 | $923.2K |
| B4224 | Parenteral nutrition administration kit, per day | 1 | 10 | 5,990 | $120 | $733.8K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1 | 10 | 3,040 | $120 | $542.7K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 1 | 10 | 5,540 | $90 | $472.2K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 1 | 10 | 3,220 | $130 | $431.9K |
| 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… | 1 | 10 | 610 | $420 | $257.3K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2 | 10 | 4,870 | $50 | $240.6K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 3 | 10 | 1,550 | $150 | $224.5K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 1 | 10 | 730 | $250 | $183.5K |