CONNECTICUT CVS PHARMACY, L.L.C.
NPI: 1013011915
· WEST HARTFORD, CT 06110
· 3336C0003X
$166K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,208 |
$57K |
| 2019 |
1,193 |
$54K |
| 2020 |
1,192 |
$49K |
| 2021 |
226 |
$6K |
| 2022 |
41 |
$361.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
2,718 |
2,565 |
$154K |
| A4259 |
Lancets per box |
1,142 |
1,104 |
$12K |