LONGS DRUG STORES CALIFORNIA LLC
NPI: 1225071012
· PASO ROBLES, CA 93446
· Community/Retail Pharmacy
$39.95
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
76 |
$39.95 |
| 2020 |
61 |
$0.00 |
| 2021 |
99 |
$0.00 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
12 |
$39.95 |
| 90662 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
149 |
149 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 0011A |
|
20 |
20 |
$0.00 |
| 0012A |
|
26 |
26 |
$0.00 |