| Code | Description | Claims | Beneficiaries | Total Paid |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,659 |
1,232 |
$756K |
| Z0104 |
|
3,724 |
816 |
$512K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,767 |
713 |
$328K |
| Z0102 |
|
1,362 |
267 |
$268K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
934 |
223 |
$183K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
616 |
606 |
$42K |
| 99477 |
|
64 |
63 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
210 |
56 |
$20K |
| 99468 |
|
26 |
26 |
$11K |
| Z0100 |
|
16 |
15 |
$6K |