| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
207 |
55 |
$52K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
405 |
96 |
$32K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
167 |
54 |
$14K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
23 |
12 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$689.08 |