WALGREEN CO
NPI: 1093720328
· LOMPOC, CA 93436
· Community/Retail Pharmacy
$369.67
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$288.12 |
| 2019 |
15 |
$81.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
48 |
41 |
$354.35 |
| A4259 |
Lancets, per box of 100 |
17 |
12 |
$15.32 |