| Code | Description | Claims | Beneficiaries | Total Paid |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
82 |
68 |
$87K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,485 |
124 |
$13K |
| 97116 |
|
244 |
24 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
164 |
25 |
$962.50 |
| 97535 |
Self-care/home management training, each 15 minutes |
80 |
12 |
$528.08 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,377 |
98 |
$43.11 |
| 91320 |
|
19 |
19 |
$0.00 |
| 90662 |
|
25 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
86 |
$0.00 |
| 90688 |
|
59 |
58 |
$0.00 |
| 0001A |
|
41 |
41 |
$0.00 |
| 90480 |
|
19 |
19 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |