| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
652 |
63 |
$6K |
| 90653 |
|
132 |
82 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
84 |
12 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
22 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
198 |
136 |
$0.00 |
| 90694 |
|
45 |
32 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |