| Code | Description | Claims | Beneficiaries | Total Paid |
| S0341 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage |
10,349 |
379 |
$497K |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
4,061 |
142 |
$196K |
| S0317 |
Disease management program; per diem |
519 |
26 |
$96K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,149 |
260 |
$19K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
244 |
67 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
87 |
28 |
$869.60 |
| 97166 |
|
13 |
13 |
$294.97 |
| 97542 |
|
35 |
12 |
$203.10 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
213 |
26 |
$107.94 |
| 90686 |
|
42 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |