| Code | Description | Claims | Beneficiaries | Total Paid |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
2,808 |
142 |
$226K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,538 |
671 |
$141K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,183 |
319 |
$49K |
| 97535 |
Self-care/home management training, each 15 minutes |
501 |
139 |
$16K |
| 97116 |
|
497 |
80 |
$8K |
| H0038 |
Self-help/peer services, per 15 minutes |
136 |
31 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
31 |
14 |
$390.93 |
| 90694 |
|
12 |
12 |
$358.40 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$149.55 |