NPI: 1114074622 · HONOLULU, HI 96819 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,120 | $1.59M |
| 2019 | 11,356 | $1.01M |
| 2020 | 6,991 | $801K |
| 2021 | 15,275 | $1.61M |
| 2022 | 14,251 | $1.58M |
| 2023 | 14,509 | $1.73M |
| 2024 | 13,831 | $1.73M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 21,311 | 18,208 | $3.51M | |
| 99214 | 17,770 | 15,118 | $2.69M | |
| 99212 | 11,811 | 9,641 | $2.37M | |
| G0467 | Fqhc visit, estab pt | 8,937 | 6,624 | $515K |
| 90832 | 1,751 | 1,288 | $268K | |
| 90834 | 1,743 | 1,275 | $221K | |
| 99443 | 315 | 279 | $65K | |
| 99393 | 291 | 274 | $56K | |
| 99391 | 266 | 222 | $55K | |
| G2025 | Dis site tele svcs rhc/fqhc | 706 | 544 | $55K |
| 99202 | 173 | 165 | $37K | |
| 99392 | 198 | 169 | $35K | |
| 99215 | Prolong outpt/office vis | 189 | 160 | $30K |
| 0011A | 520 | 445 | $14K | |
| G0470 | Fqhc visit, mh estab pt | 368 | 255 | $14K |
| 99442 | 188 | 140 | $13K | |
| 90471 | 7,463 | 6,855 | $12K | |
| 92014 | 66 | 63 | $11K | |
| 0012A | 392 | 342 | $10K | |
| 99441 | 64 | 55 | $10K | |
| 90677 | 67 | 66 | $6K | |
| 99394 | 25 | 24 | $5K | |
| 99201 | 20 | 20 | $5K | |
| 92004 | 26 | 26 | $5K | |
| 0002A | 108 | 105 | $4K | |
| 98968 | 27 | 19 | $4K | |
| 0001A | 93 | 88 | $3K | |
| 0064A | 145 | 133 | $3K | |
| 96372 | 246 | 208 | $2K | |
| 81025 | 623 | 590 | $2K | |
| 0072A | 60 | 60 | $2K | |
| 90472 | 1,332 | 1,214 | $2K | |
| 0004A | 47 | 45 | $2K | |
| 0071A | 39 | 39 | $1K | |
| 0134A | 43 | 41 | $1K | |
| 82948 | 3,818 | 3,209 | $760.02 | |
| 92552 | 1,793 | 1,616 | $307.62 | |
| 99211 | 16 | 16 | $288.57 | |
| 99173 | 1,636 | 1,480 | $203.89 | |
| 86580 | 55 | 54 | $123.53 | |
| 90460 | 431 | 374 | $121.32 | |
| 90662 | 81 | 75 | $118.00 | |
| 90686 | 1,352 | 1,241 | $99.29 | |
| 90688 | 559 | 495 | $60.75 | |
| 90658 | 878 | 850 | $40.74 | |
| 90715 | 13 | 13 | $35.00 | |
| 81002 | 29 | 26 | $3.72 | |
| 91306 | 193 | 184 | $0.19 | |
| 91307 | 206 | 182 | $0.18 | |
| 91300 | 368 | 324 | $0.16 | |
| 91301 | 952 | 836 | $0.08 | |
| 91313 | 27 | 26 | $0.04 | |
| 1159F | 44 | 41 | $0.00 | |
| 90670 | 159 | 134 | $0.00 | |
| 90461 | 171 | 153 | $0.00 | |
| V2020 | Vision svcs frames purchases | 222 | 188 | $0.00 |
| 90707 | 69 | 67 | $0.00 | |
| 92015 | 507 | 443 | $0.00 | |
| 80061 | 44 | 44 | $0.00 | |
| 90648 | 19 | 12 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 88 | 81 | $0.00 |
| 1160F | 44 | 41 | $0.00 | |
| 90681 | 13 | 13 | $0.00 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 27 | 26 | $0.00 |
| 92340 | 16 | 14 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 948 | 838 | $0.00 |
| 92250 | 592 | 525 | $0.00 | |
| V2756 | Eye glass case | 218 | 188 | $0.00 |
| 1126F | 30 | 27 | $0.00 | |
| G0008 | Admin influenza virus vac | 152 | 143 | $0.00 |
| 90656 | 90 | 90 | $0.00 | |
| 90480 | 12 | 12 | $0.00 | |
| 85018 | 12 | 12 | $0.00 | |
| 83036 | 26 | 25 | $0.00 |