COUNTY SQUARE PHARMACY INC
NPI: 1215034921
· ATTLEBORO, MA 02703
· 333600000X
$238.08
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
113 |
$0.00 |
| 2023 |
93 |
$238.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
15 |
15 |
$154.18 |
| 90480 |
|
15 |
15 |
$83.90 |
| 0124A |
|
15 |
15 |
$0.00 |
| 90662 |
|
17 |
17 |
$0.00 |
| 90686 |
|
49 |
49 |
$0.00 |
| G0008 |
Admin influenza virus vac |
83 |
83 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |