ARKANSAS CVS PHARMACY, LLC
NPI: 1023492154
· CONWAY, AR 72032
· 332B00000X
$780.99
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$0.00 |
| 2021 |
218 |
$780.99 |
| 2022 |
36 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
110 |
78 |
$404.85 |
| 0012A |
|
108 |
82 |
$376.14 |
| 90662 |
|
17 |
17 |
$0.00 |
| G0008 |
Admin influenza virus vac |
33 |
33 |
$0.00 |