ADVOCATE CONDELL MEDICAL CENTER

$2.03M

Total Medicaid Paid

46,954

Total Claims

20,714

Beneficiaries

49

Codes Billed

2018-01

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
97110		19,810	4,675	$1.52M
92507		6,887	1,221	$257K
97161		1,711	1,257	$106K
77067		762	703	$42K
87880		2,924	2,372	$20K
71046		1,845	1,469	$18K
87804		2,119	776	$13K
77063		683	644	$6K
94640		373	235	$5K
J3490	Unclassified drugs	449	147	$5K
93005		340	277	$4K
87081		2,769	2,219	$3K
92523		37	12	$2K
73630		217	182	$2K
97165		195	112	$2K
87086		620	545	$2K
97162		19	12	$2K
87400		735	654	$2K
96372		185	102	$2K
80053		581	419	$2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	14	14	$1K
85610		689	344	$1K
85025		803	508	$1K
73564		104	84	$1K
73610		59	57	$796.59
84443		141	126	$714.41
81003		644	517	$381.47
73502		21	13	$337.72
81025		368	305	$278.88
72110		12	12	$221.79
73030		20	13	$197.70
87480		21	13	$193.00
87591		16	12	$181.96
87491		16	12	$181.96
73130		49	42	$179.03
82306		52	46	$176.95
87660		37	25	$173.64
87510		21	13	$167.50
87077		77	62	$146.37
81002		241	210	$109.78
80061		66	64	$64.97
36415		19	12	$64.39
84439		31	26	$39.29
83036		47	43	$34.04
87147		42	42	$22.16
85027		14	14	$17.14
85652		17	12	$3.93
J7510	Prednisolone oral, per 5 mg	24	12	$2.13
Q0162	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	28	28	$0.00

Medicaid Provider Spending