| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
6,179 |
1,204 |
$845K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,964 |
957 |
$778K |
| Z0102 |
|
3,654 |
793 |
$708K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
4,557 |
1,251 |
$587K |
| Z0104 |
|
3,289 |
580 |
$446K |
| 99468 |
|
637 |
601 |
$260K |
| Z0100 |
|
466 |
444 |
$189K |
| 99477 |
|
298 |
286 |
$122K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,008 |
992 |
$68K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
134 |
15 |
$26K |
| Z0108 |
|
278 |
276 |
$8K |
| 99460 |
|
37 |
37 |
$2K |