| Code | Description | Claims | Beneficiaries | Total Paid |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
13 |
12 |
$18K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
922 |
80 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
396 |
51 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
521 |
66 |
$169.10 |
| G0008 |
Administration of influenza virus vaccine |
32 |
16 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,420 |
360 |
$0.00 |
| 0004A |
|
30 |
30 |
$0.00 |
| 90662 |
|
32 |
16 |
$0.00 |