CONNECTICUT CVS PHARMACY LLC
NPI: 1073617908
· HARTFORD, CT 06112
· 3336C0003X
$201K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,597 |
$68K |
| 2019 |
1,649 |
$70K |
| 2020 |
1,387 |
$58K |
| 2021 |
153 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
3,286 |
3,087 |
$184K |
| A4259 |
Lancets per box |
1,405 |
1,364 |
$14K |
| E0607 |
Blood glucose monitor home |
95 |
94 |
$2K |