| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
58 |
50 |
$72K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
340 |
48 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
94 |
12 |
$350.32 |
| G0008 |
Administration of influenza virus vaccine |
68 |
68 |
$0.00 |
| 90480 |
|
18 |
18 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
15 |
15 |
$0.00 |
| 90756 |
|
35 |
35 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |