| Code | Description | Claims | Beneficiaries | Total Paid |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
7,223 |
1,055 |
$2.49M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
21,686 |
2,012 |
$2.29M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
17,470 |
1,919 |
$1.80M |
| 99468 |
|
544 |
540 |
$427K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,098 |
2,062 |
$130K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
314 |
24 |
$103K |
| 99477 |
|
325 |
324 |
$99K |
| 99478 |
|
300 |
37 |
$33K |
| 94772 |
|
493 |
448 |
$19K |
| 54150 |
|
203 |
202 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
53 |
$2K |