| Code | Description | Claims | Beneficiaries | Total Paid |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
933 |
303 |
$75K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
199 |
59 |
$50K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
597 |
196 |
$46K |
| 99478 |
|
69 |
17 |
$6K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
24 |
17 |
$6K |
| 99477 |
|
16 |
13 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
29 |
$1K |
| 99464 |
|
13 |
12 |
$929.08 |