| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z0102 |
|
7,551 |
2,134 |
$1.48M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
5,814 |
2,028 |
$745K |
| Z0104 |
|
3,255 |
972 |
$461K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
2,366 |
676 |
$448K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
2,191 |
534 |
$298K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,230 |
333 |
$239K |
| Z0100 |
|
230 |
217 |
$89K |
| Z0106 |
|
646 |
217 |
$48K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
366 |
353 |
$27K |
| 99468 |
|
56 |
55 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
217 |
$20K |
| 99477 |
|
42 |
41 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
161 |
159 |
$11K |
| Z4304 |
|
167 |
167 |
$9K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 96112 |
|
12 |
12 |
$2K |
| 99252 |
|
44 |
44 |
$2K |