MISSISSIPPI CVS PHARMACY, L.L.C.
NPI: 1063734291
· PONTOTOC, MS 38863
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
473 |
$2K |
| 2019 |
346 |
$1K |
| 2020 |
316 |
$1K |
| 2021 |
207 |
$893.53 |
| 2022 |
53 |
$185.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
1,327 |
1,259 |
$6K |
| A4259 |
Lancets per box |
68 |
67 |
$35.53 |