ECARE HAWAII LLC

$399K

Total Medicaid Paid

45,413

Total Claims

42,195

Beneficiaries

51

Codes Billed

2020-10

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		4,397	4,022	$126K
99213		6,787	6,212	$98K
S0302	Completed epsdt	1,865	1,804	$57K
99391		801	725	$22K
99393		1,026	989	$18K
90834		270	114	$18K
99392		860	818	$18K
99394		910	895	$14K
90460		3,456	3,257	$10K
99204		75	62	$3K
92551		3,599	3,488	$2K
99212		299	279	$2K
90461		1,418	1,293	$1K
99072		1,115	1,022	$1K
90471		210	207	$1K
96127		1,211	1,143	$1K
99211		239	229	$827.35
96110		2,434	2,308	$764.15
90686		1,615	1,544	$687.75
90677		142	140	$596.08
90651		115	111	$297.67
99383		27	27	$251.78
99173		3,617	3,492	$222.45
96161		487	464	$200.38
G0444	Depression screen annual	84	62	$87.36
99395		15	14	$53.86
99406		14	12	$47.56
G0442	Annual alcohol screen 15 min	18	13	$26.57
90670		130	119	$8.00
G2010	Remot image submit by pt	25	24	$7.78
90633		34	34	$4.00
90698		130	120	$4.00
3078F		720	646	$0.02
3074F		769	693	$0.02
G8431	Pos clin depres scrn f/u doc	205	180	$0.00
90734		41	38	$0.00
G8752	Sys bp less 140	86	59	$0.00
S9999	Sales tax	14	13	$0.00
3725F		31	20	$0.00
G9903	Pt scrn tbco id as non user	122	101	$0.00
1036F		532	473	$0.00
G8510	Scr dep neg, no plan reqd	3,323	3,069	$0.00
3008F		579	503	$0.00
G9275	Doc of non tobacco user	1,095	993	$0.00
90680		41	41	$0.00
G8754	Dias bp less 90	171	114	$0.00
3079F		97	83	$0.00
90697		42	42	$0.00
G8420	Calc bmi norm parameters	87	52	$0.00
90619		19	19	$0.00
3075F		14	13	$0.00

Medicaid Provider Spending