I would personally setup a stereo instrument track, insert Xpand or some Virtual Instrument and then choose a transient sound. Then do:
Pro Tools Menus>Setup>Click/Countoff... 'Output' to a desired VI. (You'll now see Xpand or any VI's that are inserted on tracks show up here.)
Or you could go out a physical midi port in Pro Tools with a midi cable, choose the port for the midi note to go out in click window and then it'll hit your hardware unit and you'll need an analog audio cable coming back into an aux track in Pro Tools to hear it. and you'll probably have some latency to consider doing it this way.
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