| 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… | 4,850 | $890 | $4.3M |
| 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,… | 9,060 | $260 | $2.3M |
| 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… | 3,910 | $140 | $538.9K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 3,540 | $150 | $513.9K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 3,730 | $90 | $339.5K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 3,130 | $90 | $278.7K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2,020 | $120 | $246.7K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include… | 1,650 | $140 | $236.1K |
| T4541 | Incontinence product, disposable underpad, large, each | 6,040 | $40 | $217.5K |
| A4927 | Gloves, non-sterile, per 100 | 7,410 | $30 | $214.9K |