NPI: 1710554571 · AIEA, HI 96701 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 6,831 | $1.07M |
| 2024 | 34,352 | $10.59M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 10,015 | 729 | $9.01M | |
| Q4081 | Epoetin alfa, 100 units esrd | 4,512 | 482 | $1.93M |
| J1756 | Iron sucrose injection | 1,167 | 268 | $456K |
| J0887 | Epoetin beta esrd use | 90 | 52 | $256K |
| 82306 | 46 | 39 | $5K | |
| 82310 | 895 | 699 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 3,464 | 265 | $0.00 |
| 83540 | 795 | 692 | $0.00 | |
| 83970 | 422 | 367 | $0.00 | |
| 84450 | 655 | 571 | $0.00 | |
| 84155 | 797 | 693 | $0.00 | |
| 85014 | 147 | 117 | $0.00 | |
| 82565 | 507 | 437 | $0.00 | |
| 84295 | 108 | 98 | $0.00 | |
| 84466 | 795 | 692 | $0.00 | |
| 84100 | 616 | 467 | $0.00 | |
| 82374 | 110 | 98 | $0.00 | |
| 84520 | 1,216 | 453 | $0.00 | |
| 90653 | 13 | 13 | $0.00 | |
| 90661 | 15 | 15 | $0.00 | |
| 82947 | 36 | 31 | $0.00 | |
| 82108 | 30 | 26 | $0.00 | |
| 83036 | 95 | 87 | $0.00 | |
| A4657 | Syringe w/wo needle | 9,807 | 654 | $0.00 |
| 82040 | 503 | 439 | $0.00 | |
| 84075 | 790 | 692 | $0.00 | |
| 85018 | 823 | 503 | $0.00 | |
| 82728 | 287 | 253 | $0.00 | |
| 85025 | 799 | 687 | $0.00 | |
| 80051 | 387 | 336 | $0.00 | |
| 82746 | 59 | 51 | $0.00 | |
| 87340 | 524 | 443 | $0.00 | |
| 80069 | 149 | 130 | $0.00 | |
| 83735 | 66 | 58 | $0.00 | |
| 82607 | 59 | 51 | $0.00 | |
| 82435 | 108 | 98 | $0.00 | |
| G0008 | Admin influenza virus vac | 25 | 25 | $0.00 |
| 84132 | 145 | 111 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 22 | 22 | $0.00 |
| J3490 | Drugs unclassified injection | 17 | 14 | $0.00 |
| 86706 | 45 | 38 | $0.00 | |
| 90677 | 22 | 22 | $0.00 |