NPI: 1093382012 · HONOLULU, HI 96817 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 10,229 | $258K |
| 2024 | 24,830 | $7.80M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 8,877 | 629 | $5.18M | |
| Q4081 | Epoetin alfa, 100 units esrd | 3,170 | 356 | $2.15M |
| J1756 | Iron sucrose injection | 996 | 232 | $548K |
| J0887 | Epoetin beta esrd use | 307 | 159 | $177K |
| 84155 | 683 | 565 | $0.00 | |
| 82310 | 762 | 567 | $0.00 | |
| 83540 | 719 | 563 | $0.00 | |
| 84100 | 699 | 519 | $0.00 | |
| 82565 | 626 | 510 | $0.00 | |
| 84295 | 76 | 67 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 2,453 | 202 | $0.00 |
| 84450 | 600 | 485 | $0.00 | |
| 84466 | 719 | 563 | $0.00 | |
| 83970 | 250 | 212 | $0.00 | |
| 82374 | 76 | 67 | $0.00 | |
| 84520 | 1,327 | 513 | $0.00 | |
| 85014 | 160 | 122 | $0.00 | |
| 82108 | 13 | 13 | $0.00 | |
| 90661 | 12 | 12 | $0.00 | |
| 82040 | 640 | 509 | $0.00 | |
| 85025 | 678 | 554 | $0.00 | |
| 85018 | 552 | 283 | $0.00 | |
| 82728 | 230 | 196 | $0.00 | |
| 80051 | 536 | 436 | $0.00 | |
| A4657 | Syringe w/wo needle | 8,338 | 613 | $0.00 |
| 84075 | 683 | 565 | $0.00 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |
| 83735 | 57 | 51 | $0.00 | |
| 82306 | 38 | 32 | $0.00 | |
| 87340 | 385 | 305 | $0.00 | |
| 83036 | 42 | 38 | $0.00 | |
| 86704 | 22 | 17 | $0.00 | |
| 82607 | 38 | 32 | $0.00 | |
| 84132 | 86 | 67 | $0.00 | |
| 82746 | 38 | 32 | $0.00 | |
| 82435 | 76 | 67 | $0.00 | |
| 80069 | 18 | 16 | $0.00 | |
| 86706 | 64 | 52 | $0.00 |