| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
9,655 |
3,271 |
$4.85M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
36,444 |
14,607 |
$4.81M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
9,516 |
3,966 |
$3.86M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
22,361 |
8,778 |
$3.13M |
| 92586 |
|
16,562 |
15,298 |
$809K |
| 92650 |
|
15,194 |
12,166 |
$749K |
| 99460 |
|
2,544 |
2,299 |
$195K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,485 |
2,265 |
$153K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
694 |
621 |
$70K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
368 |
336 |
$48K |
| 99243 |
|
182 |
159 |
$34K |
| 99468 |
|
13 |
13 |
$23K |
| 99464 |
|
267 |
247 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
213 |
208 |
$17K |
| 99462 |
|
329 |
254 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
291 |
225 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
119 |
52 |
$10K |
| 99477 |
|
13 |
12 |
$4K |
| 99478 |
|
22 |
12 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$3K |
| 99463 |
|
18 |
16 |
$1K |
| 76820 |
|
145 |
58 |
$641.71 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
12 |
$75.15 |