KANSAS CVS PHARMACY LLC
NPI: 1063843654
· JUNCTION CITY, KS 66441
· 332B00000X
$28.30
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$0.00 |
| 2020 |
88 |
$0.00 |
| 2021 |
796 |
$28.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
423 |
417 |
$28.30 |
| 0002A |
|
461 |
461 |
$0.00 |
| 90662 |
|
21 |
21 |
$0.00 |
| G0008 |
Admin influenza virus vac |
22 |
22 |
$0.00 |