WISCONSIN CVS PHARMACY LLC
NPI: 1063673150
· FRANKLIN, WI 53132
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
34 |
$991.22 |
| 2021 |
12 |
$277.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
34 |
34 |
$991.22 |
| 90686 |
|
12 |
12 |
$277.05 |