LOUISIANA CVS PHARMACY, L.L.C.
NPI: 1144324070
· THIBODAUX, LA 70301
· 332B00000X
$53.23
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$53.23 |
| 2019 |
19 |
$0.00 |
| 2020 |
36 |
$0.00 |
| 2021 |
117 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
28 |
25 |
$53.23 |
| G0008 |
Admin influenza virus vac |
67 |
67 |
$0.00 |
| 0001A |
|
50 |
50 |
$0.00 |
| 0004A |
|
32 |
32 |
$0.00 |
| 0002A |
|
23 |
23 |
$0.00 |