WEST VIRGINIA CVS PHARMACY LLC
NPI: 1053414706
· PARKERSBURG, WV 26101
· 332B00000X
$904.28
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$904.28 |
| 2020 |
12 |
$0.00 |
| 2021 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
38 |
38 |
$904.28 |
| 0064A |
|
31 |
31 |
$0.00 |