| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,695 |
379 |
$34K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
837 |
215 |
$31K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,267 |
326 |
$19K |
| 97014 |
|
407 |
114 |
$3K |
| 97164 |
|
34 |
33 |
$1K |
| 97161 |
|
13 |
13 |
$618.02 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
26 |
26 |
$419.98 |
| A4927 |
Gloves, non-sterile, per 100 |
34 |
12 |
$165.00 |
| 97010 |
|
25 |
12 |
$0.00 |