| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,187 |
301 |
$96K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
410 |
98 |
$32K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
34 |
15 |
$9K |
| 99460 |
|
109 |
108 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
42 |
38 |
$2K |
| 99464 |
|
26 |
25 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
69 |
68 |
$2K |
| 99462 |
|
102 |
80 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$836.22 |