| Code | Description | Claims | Beneficiaries | Total Paid |
| S0341 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage |
143 |
130 |
$196K |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
110 |
110 |
$159K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,389 |
459 |
$27K |
| 97535 |
Self-care/home management training, each 15 minutes |
151 |
24 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,014 |
206 |
$710.52 |
| G0008 |
Administration of influenza virus vaccine |
186 |
186 |
$0.00 |
| 90674 |
|
92 |
92 |
$0.00 |
| 90694 |
|
34 |
34 |
$0.00 |
| 90677 |
|
21 |
21 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
40 |
40 |
$0.00 |
| 91320 |
|
56 |
56 |
$0.00 |
| 90653 |
|
24 |
24 |
$0.00 |
| 0004A |
|
29 |
29 |
$0.00 |