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X4104
Billing code X4104
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $248K on code X4104 from 2018 through 2024, to 68 providers — the #5,257 code in the file by dollars. 100% of it was billed in California.
28Total paid$248K
24GClaims11,835
Paid per claim line$20.95
33Providers billing it68
Box 32 · Location
Where X4104 is billed
The largest of 1 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing X4104
| # | Provider | Location | Claims | Paid on X4104 |
|---|---|---|---|---|
| 1 | County of Stanislaus | Modesto, CA | 1,441 | $30K |
| 2 | County of Fresno | Fresno, CA | 1,137 | $24K |
| 3 | County of Fresno | Fresno, CA | 824 | $17K |
| 4 | Santa Barbara County Public Health Dept | Santa Maria, CA | 801 | $17K |
| 5 | County of Merced | Merced, CA | 636 | $13K |
| 6 | County of Fresno | Clovis, CA | 429 | $9K |
| 7 | Los Angeles County - Claremont Mtu | Claremont, CA | 409 | $9K |
| 8 | County of Humboldt | Eureka, CA | 412 | $8K |
| 9 | Los Angeles County - North Hollywood Mtu | North Hollywood, CA | 382 | $8K |
| 10 | Santa Barbara County Public Health Dept | Santa Barbara, CA | 372 | $8K |
| 11 | County of Shasta Through Health & Human Services Agency | Redding, CA | 343 | $7K |
| 12 | County of Sacramento | Sacramento, CA | 338 | $7K |
| 13 | Contra Costa County | Antioch, CA | 309 | $6K |
| 14 | City and County of San Francisco | San Francisco, CA | 300 | $6K |
| 15 | San Joaquin County CCS | Stockton, CA | 274 | $6K |
| 16 | County of Sacramento | Rio Linda, CA | 237 | $5K |
| 17 | County of Sonoma | Santa Rosa, CA | 224 | $5K |
| 18 | Department of Health Services | Santa Rosa, CA | 222 | $5K |
| 19 | County of Riverside | Hemet, CA | 161 | $3K |
| 20 | County of Riverside | Riverside, CA | 144 | $3K |
| 21 | Solano County CCS | Fairfield, CA | 137 | $3K |
| 22 | San Bernardino County Public Health Dept. | Montclair, CA | 131 | $3K |
| 23 | Santa Barbara County Public Health Dept | Vandenberg Air Force Base, CA | 128 | $3K |
| 24 | Contra Costa County | San Pablo, CA | 122 | $3K |
| 25 | Kern County CCS | Bakersfield, CA | 113 | $2K |
| 26 | Marindale Medical Therapy Unit | San Rafael, CA | 109 | $2K |
| 27 | Los Angeles County - Palmdale Mtu | Palmdale, CA | 97 | $2K |
| 28 | Los Angeles County - El Monte Mtu | El Monte, CA | 97 | $2K |
| 29 | San Joaquin County CCS | Manteca, CA | 91 | $2K |
| 30 | County of Riverside | Palm Springs, CA | 91 | $2K |
| 31 | County of Sacramento | Carmichael, CA | 82 | $2K |
| 32 | San Luis Obispo County CCS | Oceano, CA | 84 | $2K |
| 33 | County of Monterey | Salinas, CA | 75 | $2K |
| 34 | Murrieta Medical Therapy Unit | Murrieta, CA | 69 | $1K |
| 35 | Contra Costa County | Concord, CA | 67 | $1K |
| 36 | County of Orange | Santa Ana, CA | 66 | $1K |
| 37 | San Joaquin County CCS | Lodi, CA | 64 | $1K |
| 38 | County of Riverside | Riverside, CA | 60 | $1K |
| 39 | County of Riverside | Indio, CA | 53 | $1K |
| 40 | CCS Medical Therapy Program | Bakersfield, CA | 52 | $1K |
| 41 | Placer County CCS | Newcastle, CA | 48 | $1K |
| 42 | Los Angeles County - Huntington Park Mtu | Huntington Park, CA | 48 | $1K |
| 43 | Los Angeles County - Norwalk Mtu | Norwalk, CA | 43 | $902.14 |
| 44 | County of Orange | Garden Grove, CA | 41 | $868.79 |
| 45 | Santa Clara County CCS | San Jose, CA | 39 | $820.74 |
| 46 | Bay Mtu | San Lorenzo, CA | 38 | $790.02 |
| 47 | B. Gale Wilson Mtu | Fairfield, CA | 37 | $784.03 |
| 48 | County of Sonoma | Petaluma, CA | 43 | $741.91 |
| 49 | County of Orange | Westminster, CA | 33 | $695.70 |
| 50 | County of Ventura | Oxnard, CA | 28 | $589.96 |
| 51 | Oxnard Mtu | Oxnard, CA | 28 | $587.44 |
| 52 | County of Riverside | Corona, CA | 16 | $339.04 |
| 53 | Red Maple Mtu | Moreno Valley, CA | 15 | $314.70 |
| 54 | San Mateo County California Children's Services | San Mateo, CA | 15 | $314.70 |
| 55 | San Luis Obispo County CCS | San Luis Obispo, CA | 15 | $312.34 |
| 56 | Cesar Chavez Mtu | Oakland, CA | 15 | $311.85 |
| 57 | Los Angeles County - Reseda Mtu | Reseda, CA | 14 | $293.72 |
| 58 | Santa Cruz County CCS | Watsonville, CA | 13 | $275.47 |
| 59 | San Joaquin County CCS | Tracy, CA | 13 | $272.74 |
| 60 | Los Angeles County - San Pedro Mtu | San Pedro, CA | 13 | $272.74 |
| 61 | West Oakland Mtu | Oakland, CA | 13 | $270.27 |
| 62 | Butte County Department of Public Health, Oroville Mtu | Oroville, CA | 12 | $254.28 |
| 63 | Penfield Mtu | Ventura, CA | 12 | $254.28 |
| 64 | County of Orange | Placentia, CA | 12 | $253.86 |
| 65 | Los Angeles County - South Bay Mtu | Redondo Beach, CA | 12 | $251.76 |
| 66 | County of Monterey | Salinas, CA | 12 | $251.76 |
| 67 | Los Angeles County - Glendale Tu | Glendale, CA | 12 | $251.76 |
| 68 | San Luis Obispo County CCS | Paso Robles, CA | 12 | $251.76 |