| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V5261 |
Hearing aid, digital, binaural, bte |
12 |
12 |
$26K |
| V5160 |
Dispensing fee, binaural |
83 |
81 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
182 |
175 |
$5K |
| V5266 |
Battery for use in hearing device |
114 |
107 |
$3K |
| 92557 |
|
192 |
191 |
$1K |
| 99305 |
|
66 |
66 |
$1K |
| 92587 |
|
80 |
79 |
$972.52 |
| V5264 |
Ear mold/insert, not disposable, any type |
12 |
12 |
$792.00 |
| 92550 |
|
153 |
152 |
$687.17 |
| 69210 |
|
194 |
193 |
$308.00 |
| 99304 |
|
79 |
79 |
$192.52 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
208 |
208 |
$40.32 |
| 92556 |
|
13 |
13 |
$16.50 |
| 92567 |
|
15 |
15 |
$15.02 |
| 92552 |
|
12 |
12 |
$0.00 |