GARFIELD BEACH CVS, L.L.C.
NPI: 1912147836
· SOUTH EL MONTE, CA 91733
· 332B00000X
$345.59
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
87 |
$187.17 |
| 2024 |
99 |
$158.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
68 |
68 |
$301.42 |
| 90480 |
|
42 |
42 |
$44.17 |
| 90662 |
|
30 |
30 |
$0.00 |
| G0008 |
Admin influenza virus vac |
34 |
34 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |