| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
|
32,236 |
7,854 |
$2.08M |
| 97530 |
|
11,312 |
3,237 |
$740K |
| T1017 |
Targeted case management |
20,419 |
6,918 |
$545K |
| H2000 |
Comp multidisipln evaluation |
1,358 |
1,252 |
$453K |
| 92557 |
|
13,267 |
6,833 |
$338K |
| 97110 |
|
4,361 |
1,338 |
$288K |
| 97127 |
|
3,546 |
1,000 |
$228K |
| V5241 |
Dispensing fee, monaural |
290 |
284 |
$45K |
| V5266 |
Battery for hearing device |
4,654 |
4,616 |
$44K |
| 92567 |
|
3,056 |
3,037 |
$28K |
| V5014 |
Hearing aid repair/modifying |
249 |
247 |
$10K |
| V5257 |
Hearing aid, digit, mon, bte |
30 |
27 |
$9K |
| V5256 |
Hearing aid, digit, mon, ite |
29 |
28 |
$8K |
| 92550 |
|
847 |
845 |
$7K |
| H2014 |
Skills train and dev, 15 min |
111 |
25 |
$7K |
| H2019 |
Ther behav svc, per 15 min |
80 |
23 |
$5K |
| V5264 |
Ear mold/insert |
27 |
26 |
$1K |
| 92588 |
|
12 |
12 |
$477.57 |
| 1036F |
|
13 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
85 |
84 |
$0.00 |