VIRGINIA CVS PHARMACY, L.L.C.
NPI: 1043314701
· BURKE, VA 22015
· Community/Retail Pharmacy
$260.06
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
122 |
$260.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
73 |
68 |
$203.28 |
| 0002A |
|
49 |
49 |
$56.78 |