| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,339 |
1,668 |
$470K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
5,292 |
1,996 |
$434K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
867 |
271 |
$206K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
158 |
158 |
$11K |
| 99468 |
|
12 |
12 |
$6K |
| 99464 |
|
33 |
33 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$50.00 |