| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
|
10,672 |
1,135 |
$139K |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
20 |
12 |
$16K |
| 97535 |
|
1,144 |
208 |
$9K |
| 97116 |
|
597 |
71 |
$5K |
| 97112 |
|
298 |
95 |
$2K |
| 97110 |
|
3,616 |
522 |
$332.68 |
| 97542 |
|
45 |
12 |
$246.27 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
12 |
12 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
17 |
12 |
$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 |
20 |
13 |
$0.00 |