| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
|
7,347 |
1,392 |
$300K |
| 97110 |
|
6,530 |
1,037 |
$203K |
| 97116 |
|
1,414 |
271 |
$34K |
| 97112 |
|
842 |
193 |
$23K |
| 97542 |
|
208 |
65 |
$12K |
| 90662 |
|
77 |
77 |
$4K |
| 90694 |
|
56 |
52 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
188 |
182 |
$3K |
| 97535 |
|
41 |
15 |
$2K |
| 97166 |
|
15 |
14 |
$1K |
| 90653 |
|
22 |
20 |
$1K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
22 |
$147.44 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
18 |
13 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
57 |
39 |
$0.00 |