KENTUCKY CVS PHARMACY, L.L.C.
NPI: 1194828830
· SOUTH WILLIAMSON, KY 41503
· 3336C0003X
$580.77
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$580.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
12 |
12 |
$549.15 |
| A4253 |
Blood glucose/reagent strips |
13 |
12 |
$31.62 |