VIRGINIA CVS PHARMACY, L.L.C.
NPI: 1083718746
· LEESBURG, VA 20176
· 3336C0003X
$130.03
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
75 |
$130.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
43 |
41 |
$101.64 |
| 0002A |
|
32 |
32 |
$28.39 |