| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 4 | 10 | 780 | $310 | $1.9M |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 11 | 20 | 1,360 | $120 | $1.2M |
| 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,… | 8 | 20 | 2,220 | $140 | $894.9K |
| 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… | 13 | 20 | 830 | $150 | $527.5K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | 11 | 10 | 1,110 | $110 | $453.5K |
| B4100 | Food thickener, administered orally, per ounce | 13 | 10 | 760 | $90 | $381.1K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 5 | 10 | 3,760 | $110 | $380.8K |
| 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… | 9 | 10 | 600 | $360 | $355.4K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 30 | 100 | 3,970 | $40 | $297.7K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 54 | 60 | 1,870 | $90 | $291.7K |