| Code | Description | Claims | Beneficiaries | Total Paid |
| 92586 |
|
3,208 |
2,990 |
$162K |
| 92650 |
|
5,713 |
5,609 |
$119K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,630 |
3,581 |
$115K |
| 54150 |
|
966 |
950 |
$76K |
| 99222 |
Initial hospital care, per day, moderate complexity |
661 |
650 |
$56K |
| 99464 |
|
1,229 |
1,195 |
$51K |
| 99460 |
|
1,470 |
1,451 |
$51K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
193 |
75 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
608 |
542 |
$30K |
| 99462 |
|
1,483 |
1,302 |
$28K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
361 |
105 |
$23K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
204 |
195 |
$15K |
| 99070 |
|
516 |
465 |
$8K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
84 |
24 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$2K |