| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
1,840 |
1,688 |
$2.07M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
6,707 |
739 |
$39K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,580 |
751 |
$22K |
| 97535 |
Self-care/home management training, each 15 minutes |
840 |
157 |
$7K |
| 97161 |
|
47 |
40 |
$841.96 |
| 97116 |
|
280 |
36 |
$301.87 |
| 90688 |
|
95 |
95 |
$161.00 |
| G0008 |
Administration of influenza virus vaccine |
96 |
96 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
17 |
13 |
$0.00 |