| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
2,243 |
517 |
$139K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,520 |
541 |
$43K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
14,135 |
827 |
$26K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
6,301 |
391 |
$10K |
| 97116 |
|
3,467 |
189 |
$3K |
| 86580 |
|
42 |
26 |
$203.28 |
| 90662 |
|
239 |
207 |
$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 |
273 |
92 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
217 |
78 |
$0.00 |
| 91322 |
|
32 |
29 |
$0.00 |
| 0004A |
|
24 |
21 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
239 |
207 |
$0.00 |
| 90480 |
|
64 |
59 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$0.00 |