| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
463 |
72 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
249 |
42 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
33 |
33 |
$0.00 |
| S5125 |
Attendant care services; per 15 minutes |
26 |
25 |
$0.00 |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
15 |
15 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
169 |
126 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
97 |
24 |
$0.00 |