| 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 | 2,100 | $310 | $2.6M |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium… | 12 | 20 | 840 | $310 | $871K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 10 | 40 | 2,280 | $150 | $795.4K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 12 | 20 | 2,210 | $170 | $748.4K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or… | 5 | 20 | 1,350 | $240 | $716.5K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 8 | 40 | 1,900 | $120 | $627.8K |
| A4554 | Disposable underpads, all sizes | 7 | 60 | 6,090 | $50 | $584.2K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 6 | 50 | 3,480 | $50 | $465.5K |
| 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… | 4 | 40 | 1,190 | $90 | $424.3K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 6 | 30 | 1,850 | $120 | $415.4K |