NPI: 1790090678 · TAMUNING, GU 96913 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,018 | $92K |
| 2020 | 4,666 | $239K |
| 2021 | 4,539 | $424K |
| 2022 | 7,659 | $974K |
| 2023 | 7,303 | $835K |
| 2024 | 4,198 | $331K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 29,946 | 2,388 | $2.89M | |
| 90670 | 22 | 21 | $3K | |
| 90732 | 14 | 14 | $1K | |
| G0008 | Admin influenza virus vac | 130 | 113 | $982.93 |
| 90682 | 36 | 35 | $848.38 | |
| 90739 | 12 | 12 | $576.84 | |
| 90686 | 78 | 65 | $509.08 | |
| G0009 | Admin pneumococcal vaccine | 37 | 36 | $423.10 |
| G0010 | Admin hepatitis b vaccine | 26 | 26 | $185.83 |
| 0004A | 12 | 12 | $160.00 | |
| A4657 | Syringe w/wo needle | 70 | 45 | $0.00 |