NORTH CAROLINA CVS PHARMACY LLC
NPI: 1184727869
· BURLINGTON, NC 27217
· 3336C0003X
$904.32
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
29 |
$309.07 |
| 2021 |
215 |
$595.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
53 |
34 |
$425.85 |
| 90471 |
|
14 |
13 |
$186.20 |
| 0011A |
|
33 |
12 |
$169.40 |
| 90686 |
|
15 |
13 |
$122.87 |
| 91301 |
|
129 |
85 |
$0.00 |