| Code | Description | Claims | Beneficiaries | Total Paid |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
306 |
65 |
$25K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
154 |
12 |
$23K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
138 |
40 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
12 |
$771.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
17 |
$729.11 |
| 99460 |
|
16 |
16 |
$620.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$474.40 |