| 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… | 20,310 | $110 | $2.2M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 69,600 | $30 | $1.9M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 36,230 | $50 | $1.7M |
| 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,… | 36,740 | $40 | $1.3M |
| 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… | 68,720 | $20 | $1.1M |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral… | 8,330 | $110 | $907.5K |
| 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… | 16,930 | $40 | $592.4K |
| B4189 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix | 2,010 | $250 | $503.8K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 5,250 | $90 | $457.1K |
| B4224 | Parenteral nutrition administration kit, per day | 13,270 | $30 | $411.4K |