FAIRFAX DISCOUNT PHARMACY INC
NPI: 1104995059
· LOS ANGELES, CA 90036
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,720 |
$85K |
| 2019 |
573 |
$4K |
| 2020 |
149 |
$395.51 |
| 2021 |
195 |
$742.93 |
| 2022 |
147 |
$541.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult size brief/diaper lg |
549 |
526 |
$31K |
| T4541 |
Large disposable underpad |
606 |
585 |
$28K |
| T4535 |
Disposable liner/shield/pad |
607 |
585 |
$15K |
| T4536 |
Reusable pull-on any size |
559 |
540 |
$7K |
| A4253 |
Blood glucose/reagent strips |
951 |
795 |
$5K |
| A6250 |
Skin seal protect moisturizr |
323 |
316 |
$3K |
| A4335 |
Incontinence supply |
321 |
310 |
$701.50 |
| A4259 |
Lancets per box |
868 |
730 |
$331.61 |