| Code | Description | Claims | Beneficiaries | Total Paid |
| 99239 |
Hospital discharge day management, more than 30 minutes |
442 |
438 |
$32K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
279 |
41 |
$32K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
67 |
12 |
$25K |
| 99468 |
|
28 |
26 |
$22K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
198 |
29 |
$22K |
| 99460 |
|
350 |
348 |
$21K |
| 99464 |
|
225 |
225 |
$10K |
| 99462 |
|
223 |
159 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
28 |
$2K |