| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
649 |
529 |
$774K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,142 |
133 |
$12K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
98 |
26 |
$822.95 |
| 92610 |
|
19 |
19 |
$642.19 |
| Q3014 |
Telehealth originating site facility fee |
22 |
20 |
$42.64 |
| 0124A |
|
16 |
16 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90756 |
|
37 |
37 |
$0.00 |
| 0004A |
|
24 |
24 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
132 |
132 |
$0.00 |
| 90688 |
|
67 |
67 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
20 |
20 |
$0.00 |