| Code | Description | Claims | Beneficiaries | Total Paid |
| Z0104 |
|
3,889 |
648 |
$533K |
| Z0102 |
|
1,606 |
298 |
$309K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,060 |
224 |
$186K |
| 99468 |
|
442 |
429 |
$119K |
| Z0100 |
|
275 |
253 |
$98K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,065 |
313 |
$96K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
592 |
73 |
$65K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,364 |
1,320 |
$61K |
| 99460 |
|
259 |
257 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
52 |
51 |
$5K |
| Z0106 |
|
33 |
12 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
173 |
48 |
$3K |