| Code | Description | Claims | Beneficiaries | Total Paid |
| Z0104 |
|
18,653 |
6,052 |
$2.67M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
20,726 |
7,051 |
$2.51M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
10,885 |
3,246 |
$1.44M |
| Z0102 |
|
6,214 |
1,950 |
$1.23M |
| 99460 |
|
18,158 |
18,099 |
$753K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,911 |
621 |
$376K |
| 99233 |
Prolong inpt eval add15 m |
6,324 |
3,296 |
$337K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,014 |
6,957 |
$327K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
8,089 |
8,039 |
$244K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,073 |
2,187 |
$196K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,051 |
2,025 |
$153K |
| 99462 |
|
6,302 |
5,234 |
$142K |
| Z0106 |
|
1,549 |
630 |
$114K |
| 99464 |
|
1,751 |
1,741 |
$106K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
466 |
138 |
$82K |
| 99223 |
Prolong inpt eval add15 m |
1,002 |
987 |
$78K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
110 |
68 |
$35K |
| Z0100 |
|
73 |
73 |
$27K |
| 99477 |
|
68 |
63 |
$18K |
| 92586 |
|
162 |
161 |
$9K |
| 99471 |
|
26 |
25 |
$8K |
| 99468 |
|
12 |
12 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
64 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
38 |
13 |
$1K |
| Z0108 |
|
13 |
13 |
$336.07 |
| 1159F |
|
162 |
156 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
164 |
158 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| 3078F |
|
76 |
76 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 3008F |
|
53 |
53 |
$0.00 |
| 3074F |
|
77 |
77 |
$0.00 |
| 1126F |
|
101 |
100 |
$0.00 |
| 92551 |
|
15 |
15 |
$0.00 |