LOUISIANA CVS PHARMACY, L.L.C.
NPI: 1154425098
· PINEVILLE, LA 71360
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
112 |
$0.00 |
| 2019 |
14 |
$0.00 |
| 2020 |
41 |
$0.00 |
| 2021 |
631 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
330 |
321 |
$0.00 |
| G0008 |
Admin influenza virus vac |
86 |
84 |
$0.00 |
| 0012A |
|
327 |
320 |
$0.00 |
| 90686 |
|
55 |
55 |
$0.00 |