| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
32,144 |
951 |
$2.91M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,197 |
234 |
$126K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,537 |
189 |
$68K |
| 97535 |
Self-care/home management training, each 15 minutes |
238 |
55 |
$17K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
217 |
49 |
$9K |
| 97116 |
|
78 |
13 |
$4K |
| 90662 |
|
28 |
28 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
19 |
16 |
$235.76 |
| T1021 |
Home health aide or certified nurse assistant, per visit |
1,268 |
164 |
$0.00 |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,648 |
303 |
$0.00 |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
301 |
114 |
$0.00 |