| Code | Description | Claims | Beneficiaries | Total Paid |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
543 |
294 |
$61K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
385 |
193 |
$42K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
37 |
24 |
$13K |
| 99460 |
|
81 |
75 |
$10K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
18 |
12 |
$6K |
| 99464 |
|
12 |
12 |
$914.79 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
16 |
$721.43 |
| 99462 |
|
18 |
15 |
$684.06 |