| Code | Description | Claims | Beneficiaries | Total Paid |
| V5140 |
Binaural, behind the ear |
39 |
39 |
$55K |
| V5298 |
Hearing aid, not otherwise classified |
28 |
28 |
$41K |
| V5014 |
Repair/modification of a hearing aid |
715 |
454 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
157 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
344 |
339 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$6K |
| 92552 |
|
204 |
204 |
$6K |
| 92557 |
|
163 |
163 |
$6K |
| 92567 |
|
304 |
304 |
$5K |
| 92556 |
|
204 |
204 |
$4K |
| V5010 |
Assessment for hearing aid |
75 |
75 |
$4K |
| 92550 |
|
24 |
24 |
$819.04 |