NORTH CAROLINA CVS PHARMACY LLC
NPI: 1114020807
· LILLINGTON, NC 27546
· 332B00000X
$179.56
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
82 |
$0.00 |
| 2019 |
15 |
$6.66 |
| 2020 |
13 |
$172.90 |
| 2021 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
13 |
13 |
$172.90 |
| A4253 |
Blood glucose/reagent strips |
97 |
93 |
$6.66 |
| 91301 |
|
25 |
25 |
$0.00 |