NEW JERSEY CVS PHARMACY LLC
NPI: 1154413755
· MATAWAN, NJ 07747
· 3336C0003X
$283.43
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
35 |
$0.00 |
| 2021 |
381 |
$283.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
202 |
198 |
$198.73 |
| 0001A |
|
214 |
201 |
$84.70 |