| Code | Description | Claims | Beneficiaries | Total Paid |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
15,096 |
3,238 |
$1.55M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
7,174 |
1,919 |
$704K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,712 |
414 |
$576K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
640 |
626 |
$44K |
| 99477 |
|
80 |
78 |
$27K |
| 99468 |
|
26 |
25 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
188 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
197 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
95 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
70 |
70 |
$2K |