NPI: 1871700914 · KEAAU, HI 96749 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 42 | $158.72 |
| 2019 | 62 | $0.00 |
| 2020 | 164 | $2K |
| 2021 | 1,812 | $61K |
| 2022 | 1,127 | $33K |
| 2023 | 426 | $14K |
| 2024 | 371 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 705 | 705 | $27K | |
| 0001A | 680 | 680 | $24K | |
| 91320 | 143 | 143 | $13K | |
| 0004A | 301 | 301 | $11K | |
| 90471 | 833 | 810 | $9K | |
| 0071A | 166 | 166 | $7K | |
| 0072A | 158 | 158 | $7K | |
| 90480 | 144 | 144 | $6K | |
| 90686 | 267 | 265 | $5K | |
| 0054A | 121 | 121 | $4K | |
| 90674 | 165 | 165 | $4K | |
| 0124A | 95 | 95 | $4K | |
| 90656 | 47 | 47 | $734.85 | |
| 90661 | 31 | 31 | $593.47 | |
| 0052A | 16 | 16 | $563.16 | |
| 0074A | 13 | 13 | $563.16 | |
| 90472 | 31 | 31 | $196.24 | |
| 90620 | 14 | 14 | $0.00 | |
| S9430 | Pharmacy comp/disp serv | 74 | 70 | $0.00 |