| Code | Description | Claims | Beneficiaries | Total Paid |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
15,849 |
6,607 |
$2.06M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
5,951 |
2,511 |
$1.73M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
7,433 |
2,957 |
$948K |
| 99233 |
Prolong inpt eval add15 m |
5,590 |
2,928 |
$317K |
| 92586 |
|
10,656 |
9,969 |
$296K |
| 99460 |
|
1,792 |
1,707 |
$144K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,736 |
1,642 |
$100K |
| 92650 |
|
1,353 |
1,340 |
$77K |
| 54150 |
|
165 |
158 |
$23K |
| 99462 |
|
619 |
518 |
$22K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
76 |
24 |
$21K |
| 99468 |
|
24 |
24 |
$16K |
| 99464 |
|
15 |
15 |
$869.24 |