PRESENCE CHICAGO HOSPITALS NETWORK

$2.70M

Total Medicaid Paid

46,521

Total Claims

21,121

Beneficiaries

52

Codes Billed

2018-01

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
97110		20,320	4,208	$2.03M
92507		7,645	1,834	$287K
V5261	Hearing aid, digital, binaural, bte	112	100	$82K
97161		1,417	769	$62K
77067		1,054	979	$58K
V5160	Dispensing fee, binaural	111	97	$37K
97162		794	460	$36K
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	267	135	$24K
92591		341	310	$12K
71046		869	773	$8K
77063		820	762	$7K
80053		1,725	1,484	$6K
V5266	Battery for use in hearing device	326	302	$6K
92523		145	91	$4K
84443		645	595	$4K
V5264	Ear mold/insert, not disposable, any type	62	59	$4K
85025		2,254	1,942	$3K
0002A		74	74	$3K
97140		39	17	$3K
0001A		58	58	$2K
87631		38	35	$2K
81002		1,792	1,127	$2K
92557		44	37	$1K
96372		150	128	$1K
85610		753	590	$1K
87389		53	52	$1K
93005		103	101	$1K
82306		398	366	$957.33
92567		68	58	$907.73
80061		647	599	$882.70
92593		60	58	$786.65
87086		246	227	$726.24
83655		92	79	$499.19
84439		187	165	$426.00
81003		699	628	$407.07
86850		235	209	$323.56
86901		227	205	$250.62
72110		12	12	$209.76
36415		711	624	$191.15
85652		252	196	$178.38
86900		227	207	$167.05
82607		23	13	$130.40
86140		83	67	$121.61
83036		76	71	$115.23
82247		59	37	$87.08
87081		27	26	$71.33
84703		37	27	$67.52
36416		53	44	$40.90
86780		14	13	$34.90
84702		14	12	$26.11
85730		14	13	$17.32
91300		49	46	$0.00

Medicaid Provider Spending