| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
252 |
91 |
$63K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
414 |
358 |
$23K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
95 |
14 |
$13K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
31 |
17 |
$11K |
| 99460 |
|
133 |
113 |
$6K |
| 99462 |
|
102 |
75 |
$2K |
| 54150 |
|
16 |
13 |
$1K |
| 99251 |
|
12 |
12 |
$551.12 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
15 |
$0.00 |