WAIKIKI HEALTH

$3.51M

Total Medicaid Paid

28,801

Total Claims

23,996

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
D0140		6,249	5,250	$1.81M
99213		6,274	5,157	$716K
G0467	Fqhc visit, estab pt	4,181	3,339	$342K
90832		1,277	924	$258K
D9999		641	538	$187K
99214		651	596	$88K
99212		535	466	$73K
Q3014	Telehealth facility fee	581	440	$9K
90791		28	24	$4K
99442		15	14	$3K
90837		15	13	$3K
0012A		49	49	$2K
G0470	Fqhc visit, mh estab pt	39	34	$2K
0011A		53	53	$2K
90471		463	440	$696.34
3008F		4,490	3,727	$543.12
G0439	Ppps, subseq visit	12	12	$281.56
1036F		217	179	$220.16
1034F		65	55	$220.16
G0008	Admin influenza virus vac	79	75	$216.91
90686		257	243	$93.78
91301		118	116	$1.17
1160F		41	38	$0.00
91322		31	31	$0.00
3078F		375	337	$0.00
3077F		363	323	$0.00
92014		123	106	$0.00
92015		187	143	$0.00
G0468	Fqhc visit, ippe or awv	12	12	$0.00
V2020	Vision svcs frames purchases	31	29	$0.00
4004F		20	18	$0.00
90480		31	31	$0.00
G8510	Scr dep neg, no plan reqd	550	499	$0.00
3074F		268	242	$0.00
3079F		151	142	$0.00
3080F		27	25	$0.00
G9903	Pt scrn tbco id as non user	43	37	$0.00
V2756	Eye glass case	31	29	$0.00
G9906	Pt recv tbco cess interv	18	13	$0.00
G9275	Doc of non tobacco user	31	28	$0.00
3075F		63	58	$0.00
90656		54	54	$0.00
36415		12	12	$0.00
96127		25	24	$0.00
G9902	Pt scrn tbco and id as user	25	21	$0.00

Medicaid Provider Spending