| Code | Description | Claims | Beneficiaries | Total Paid |
| Z0104 |
|
2,463 |
386 |
$342K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,570 |
335 |
$306K |
| Z0102 |
|
1,549 |
285 |
$298K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,884 |
362 |
$239K |
| 99468 |
|
490 |
487 |
$197K |
| Z0100 |
|
364 |
360 |
$142K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
924 |
103 |
$126K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
746 |
740 |
$56K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
243 |
47 |
$28K |
| Z0106 |
|
372 |
93 |
$27K |
| 99460 |
|
228 |
227 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
37 |
37 |
$17K |
| 99462 |
|
229 |
142 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
64 |
$4K |