| Code | Description | Claims | Beneficiaries | Total Paid |
| 99464 |
|
402 |
394 |
$32K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
357 |
134 |
$28K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
211 |
38 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
172 |
$14K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
36 |
12 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
52 |
$2K |