| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
78 |
13 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
58 |
14 |
$3K |
| G8997 |
Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
18 |
12 |
$2K |
| Q0092 |
Set-up portable x-ray equipment |
125 |
82 |
$1K |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
17 |
14 |
$535.41 |
| 90653 |
|
107 |
74 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
124 |
89 |
$0.00 |