| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
106 |
95 |
$142K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
43 |
14 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$627.28 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
45 |
45 |
$464.40 |
| 0003A |
|
64 |
64 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |