WISCONSIN CVS PHARMACY LLC
NPI: 1114172400
· BELOIT, WI 53511
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$900.60 |
| 2019 |
32 |
$969.70 |
| 2020 |
25 |
$620.01 |
| 2021 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
170 |
102 |
$3K |
| 90674 |
|
15 |
15 |
$439.30 |
| 90682 |
|
12 |
12 |
$378.66 |
| 90688 |
|
13 |
13 |
$241.35 |