| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
27 |
24 |
$45K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,046 |
315 |
$0.00 |
| 91320 |
|
21 |
21 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
72 |
12 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
165 |
41 |
$0.00 |
| 90686 |
|
142 |
142 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
143 |
143 |
$0.00 |
| 90480 |
|
21 |
21 |
$0.00 |