| Code | Description | Claims | Beneficiaries | Total Paid |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
4,283 |
763 |
$437K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,883 |
690 |
$422K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
6,138 |
1,353 |
$411K |
| 99468 |
|
918 |
902 |
$310K |
| Z0104 |
|
1,500 |
264 |
$159K |
| 99477 |
|
444 |
441 |
$129K |
| Z0100 |
|
253 |
245 |
$75K |
| Z0102 |
|
250 |
28 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,302 |
1,288 |
$29K |
| Z0106 |
|
440 |
113 |
$26K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
631 |
137 |
$23K |
| 92526 |
|
518 |
75 |
$11K |
| 99367 |
|
103 |
74 |
$47.78 |